SAINT LUCIE PEDIATRICS INC (NPI# 1396822862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396822862 |
| Entity Type | Organization |
| Organization Name | SAINT LUCIE PEDIATRICS INC |
| Practice Address |
2011 S 25th St Ste 105 Fort Pierce FL 34947-4795 |
| Practice Telephone | 7724608235 |
| Mailing Telephone | 7724608235 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-06-18 |
| Authorized Official Name | DR. RAUL RODRIGUEZ-TORRES (CEO) |
| Authorized Official Telephone | 7724608235 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME54098 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 049315501 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710032875 | Saint Lucie Pediatrics Inc | Pediatrics | 2011 S 25th St Ste 105, Fort Pierce, FL 34947-4795 | 2007-01-25 |
| Street Address |
2011 S 25TH ST STE 105 |
| City | FORT PIERCE |
| State | FL |
| Zip Code | 34947-4795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457609505 | Raul Rodriguez-torres | Pediatrics | 2011 S 25th St Ste 105, Fort Pierce, FL 34947-4795 | 2012-08-21 |
| 1710032875 | Saint Lucie Pediatrics Inc | Pediatrics | 2011 S 25th St Ste 105, Fort Pierce, FL 34947-4795 | 2007-01-25 |
| 1568520088 | Renee Levy | Physician Assistant | 2011 S 25th St Ste 105, Fort Pierce, FL 34947-4795 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982174215 | Jennifer Denise Williams | Home Health Aide | 1301 South 33rd Street, Fort Pierce, FL 34947 | 2018-11-29 |
| 1811391345 | Shaikh International Medicine, LLC | Internal Medicine | 2504 Acorn St, Suite A, Ft Pierce, FL 34947 | 2014-10-13 |
| 1851728083 | Home Sweet Home of The Treasurwe Coast, Inc. | Assisted Living Facility | 3201 Avenue Q, Fort Pierce, FL 34947 | 2013-10-02 |
| 1831488469 | Gayle Freeman Jones | In Home Supportive Care | 3414 Sloan Rd, Fort Pierce, FL 34947 | 2011-04-05 |
| 1134370927 | Chelsea Lauren Pepera | Licensed Practical Nurse | 1816 South 31st Street, Fort Pierce, FL 34947 | 2008-10-10 |
| 1790971364 | Orion Cardiovascular, IIi | Clinic/Center | 1803 S 25th Street, Ste 1, Ft. Pierce, FL 34947 | 2007-09-18 |
| 1659441236 | Diagnostic Radiology Center of The Treasure Coast | Radiology | 2011 South 25th St, Suite 106, Ft Pierce, FL 34947 | 2006-11-09 |
| 1538245758 | Oswaldo Daniel Benitez Sr. | Family Medicine | 408 South 25th Street, Fort Pierce, FL 34947 | 2006-10-31 |
| 1689786774 | Ajay Kumar Goyal | Radiology | 2011 S 25th St, Suite 106, Fort Pierce, FL 34947 | 2006-08-31 |
| 1649340258 | Ajay K Goyal Md Pa | Radiology | 2011 South 25th St, Suite 106, Ft Pierce, FL 34947 | 2006-11-09 |
| Find all providers in zip 34947 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861841132 | Stephanie Nicole Bratton | Pediatrics | 1505 Delaware Ave Ste 648, Fort Pierce, FL 34950-3975 | 2016-06-08 |
| 1386798221 | Giraldo Enrique Cepeda | Pediatrics | 1221 N Lawnwood Cir, Fort Pierce, FL 34950-4707 | 2007-01-22 |
| 1053460378 | Wendell Koblegard | Pediatrics | 2100 Nebraska Ave Ste 113, Fort Pierce, FL 34950-5968 | 2007-01-09 |
| 1841227527 | Randall Debenneville Bertolette | Pediatrics | 3209 Virginia Ave, Florida State U. College of Medicine, Ft. Pierce Campus, Fort Pierce, FL 34981-5541 | 2006-06-27 |
| 1164408142 | Prudencio Estolero Laroya | Pediatrics | 1801 S 23rd St, Suite 3, Fort Pierce, FL 34950-4830 | 2005-12-21 |
| 1215938519 | Cheryl Elaine Wayne | Pediatrics | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 | 2005-08-09 |
| 1649666413 | Malik Hamdan | Pediatrics | 1700 S 23rd St, Fort Pierce, FL 34950-4803 | 2015-04-08 |
| 1457609505 | Raul Rodriguez-torres | Pediatrics | 2011 S 25th St Ste 105, Fort Pierce, FL 34947-4795 | 2012-08-21 |
| 1093010605 | Florida Pediatric Critical Care | Pediatrics | 1700 S 23rd St, Fort Pierce, FL 34950-4803 | 2011-01-13 |
| 1730326166 | Ramon A. Chiong, D.o., P.a. | Pediatrics | 2100 Nebraska Ave Ste 113, Fort Pierce, FL 34950-4831 | 2009-01-07 |
| Find all providers in FORT PIERCE | ||||
| City | FORT PIERCE |
| Zip Code | 34947 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.