CORAL WAY MEDICAL CENTER INC (NPI# 1427231562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427231562 |
| Entity Type | Organization |
| Organization Name | CORAL WAY MEDICAL CENTER INC |
| Practice Address |
1940 Se Port St Lucie Blvd Port St Lucie FL 34952-5510 |
| Practice Telephone | 7723374430 |
| Practice Fax Number | 7723374431 |
| Mailing Telephone | 7723374430 |
| Mailing Fax Number | 7723374431 |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2009-11-02 |
| Authorized Official Name | RONALD LUBETSKY (PRESIDENT) |
| Authorized Official Telephone | 7723374430 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
1940 SE PORT ST LUCIE BLVD |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34952-5510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750603122 | Abundant Nursing Care, LLC. | Home Health | 1940 Se Port St Lucie Blvd, Suite # 271, Port St Lucie, FL 34952-5510 | 2010-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215587068 | Carehere LLC | Family Medicine | Carehere Clinic- St. Lucie Psl, 1680 Se Lyngate Drive, Port St Lucie, FL 34952 | 2019-09-13 |
| 1255998274 | Morningside Alf | Assisted Living Facility | 2233 Se Mroningside Alf, Port Saint Lucie, FL 34952 | 2019-05-24 |
| 1336611870 | Med Braces and Supplies, LLC | Durable Medical Equipment & Medical Supplies | 1484 Se Village Green Dr, Port St Lucie, FL 34952 | 2018-12-21 |
| 1689143794 | The Gift of Recovery, LLC | Counselor | 1801 Sw Hillmoor Drive, Suite C-101, Port St. Lucie, FL 34952 | 2018-11-19 |
| 1457830853 | Cathy L Sonier | Counselor | 357 Brazilian Circle, Port St Lucie, FL 34952 | 2018-08-07 |
| 1548756661 | Blo 7 Diabetes Institute Inc | Nutritionist | 1700 Sw Hillmoor Dr., Suite 305, Port St. Lucie, FL 34952 | 2018-07-02 |
| 1780194464 | Doctor's Choice Medical Center | Clinic/Center | 9164 S Us Highway 1, Port St Lucie, FL 34952 | 2017-10-06 |
| 1801305644 | Thandiwe Daley | Behavior Technician | 1935 Se Hillmoor Drive, Apt#159, Port St Lucie, FL 34952 | 2017-09-25 |
| 1700309408 | Lagrand Evan Andrews | Assistant Behavior Analyst | 265 Se Lenard Rd. Apartment 307, Port St. Lucie, FL 34952 | 2017-07-25 |
| 1578085148 | Lavetta S Ivey | Behavior Technician | 7190 Us Federal Hwy 1, Port Saint Lucie, FL 34952 | 2017-07-14 |
| Find all providers in zip 34952 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750766465 | Dieudonne Mitial | General Practice | 5323 Nw Aloha St, Port St Lucie, FL 34986-3533 | 2015-07-23 |
| 1609269026 | Advent Health, LLC | General Practice | 9861 Sw Eastbrook Cir, Port St Lucie, FL 34987-2431 | 2015-03-10 |
| 1619125564 | Brenda Hernandez Reyes | General Practice | 672 Sw Prima Vista Blvd Ste 101, Port St Lucie, FL 34983-1820 | 2008-09-04 |
| 1912026857 | Lloyd Bergner | General Practice | 9729 Sw Eastbrook Cir, Port St Lucie, FL 34987-2429 | 2007-03-29 |
| 1265524862 | Jean-marie G Eugene | General Practice | 1362 Sw Bayshore Blvd, Port St Lucie, FL 34983-2929 | 2006-09-29 |
| 1083192819 | Tania Mclean Adult & Geriatric Primary Care Services, LLC | General Practice | 4182 Sw Baird St, Port St Lucie, FL 34953-3136 | 2018-08-02 |
| 1396199303 | Victor Juan Rivera | General Practice | 672 Sw Prima Vista Blvd Ste 102, Port St Lucie, FL 34983-1820 | 2016-04-15 |
| 1326479213 | Brittany Nobilette | General Practice | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2013-12-03 |
| 1275802787 | John R Collins | General Practice | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2011-12-29 |
| 1336187988 | Sonshine Ambulatory Care Center | General Practice | 1405 Se Goldtree Dr, Suite # C, Port St Lucie, FL 34952-7563 | 2006-06-04 |
| Find all providers in PORT ST LUCIE | ||||
| City | PORT ST LUCIE |
| Zip Code | 34952 |
Please comment or provide details below to improve the information on CORAL WAY MEDICAL CENTER INC.
| 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.