SAINT LUCIE MEDICAL CENTER (NPI# 1497181556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497181556 |
Entity Type | Organization |
Organization Name | SAINT LUCIE MEDICAL CENTER |
Practice Address |
1800 Se Tiffany Ave Port Saint Lucie FL 34952-7521 |
Practice Telephone | 7723354000 |
Mailing Telephone | 7723354000 |
Enumeration Date | 2013-09-20 |
Last Update Date | 2013-09-20 |
Authorized Official Name | DR. THOMAS MATESE (DIRECTOR OF MEDICAL EDUCATION) |
Authorized Official Telephone | 7723981990 |
Authorized Official Credential | D.O. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282N00000X | General Acute Care Hospital | Hospitals |
Street Address |
1800 SE TIFFANY AVE |
City | PORT SAINT LUCIE |
State | FL |
Zip Code | 34952-7521 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457970410 | Katia Vernord | Student in an Organized Health Care Education/Training Program | 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 | 2020-04-10 |
1033746094 | John Tyler Martin | Student in an Organized Health Care Education/Training Program | 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 | 2020-03-26 |
1235791906 | Meredith Hutchens | Nurse Practitioner | 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 | 2019-07-02 |
1851850663 | Sahyly Hernandez | Student in an Organized Health Care Education/Training Program | 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 | 2019-03-19 |
1225534803 | Shelby Lynn Guile | Student in an Organized Health Care Education/Training Program | 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 | 2018-04-03 |
1750887626 | Lam Duy Tran | Student in an Organized Health Care Education/Training Program | 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 | 2018-04-01 |
1508360991 | Kellie Marie Cardenas | Registered Nurse | 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952 | 2018-03-20 |
1629593462 | Koiesha Molme | Registered Nurse | 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 | 2017-08-12 |
1013366640 | Michael Gulenay | Emergency Medicine | 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 | 2016-06-04 |
1073952057 | Michael Steven Capezzuto | Nurse Practitioner | 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 | 2013-06-23 |
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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 |
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Taxonomy Code | 282N00000X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
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1013534445 | Sarasota Memorial Hospital | General Acute Care Hospital | 2600 Laurel Rd E, North Venice, FL 34275-3226 | 2020-07-01 |
1528683257 | Gainesville Vamc | General Acute Care Hospital | 2080 Child St Bldg 200h, Jacksonville, FL 32214-5005 | 2020-06-09 |
1184246894 | Zbeiro Corp | General Acute Care Hospital | 13952 Sw 52nd Ln, Miami, FL 33175-5166 | 2020-05-15 |
1962053728 | Optimum Care Medical Group | General Acute Care Hospital | 10520 Alcon Blue Dr, Riverview, FL 33578-4116 | 2019-09-24 |
1003465097 | Medical Center of Deltona, Inc. | General Acute Care Hospital | 3300 Halifax Crossings Blvd., Deltona, FL 32725 | 2019-09-11 |
1437652500 | Physicians On Call I Corp | General Acute Care Hospital | 10081 Pines Blvd Ste B, Pembroke Pines, FL 33024-6171 | 2018-03-14 |
1396272589 | Sacred Heart Hospital | General Acute Care Hospital | 2552 Carmel Heights Rd, Pensacola, FL 32504 | 2017-05-18 |
1659803435 | Palmetto General Hosptial | General Acute Care Hospital | 2001 West 68th St, Suite 202, Hialeah, FL 33016 | 2017-03-30 |
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City | PORT SAINT LUCIE |
Zip Code | 34952 |
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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.