Nestor Lacayo (NPI# 1508872037, PAC ID# 5698759645) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1508872037 |
| PAC ID by PECOS | 5698759645 |
| Professional Enrollment ID | I20040616001002 |
| Full Name | Nestor Lacayo |
| Organization Legal Name | WELLMED MEDICAL MANAGEMENT OF FLORIDA INC |
| Address |
513 Nw Lake Whitney Place Suite 101 Port St Lucie FL 34986-1618 |
| Phone Number | 7723447228 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1977 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3971678558 |
| Number of Group Practice Members | 110 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100044 | MARTIN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 513 Nw Lake Whitney Place, Suite 101, Port St Lucie, FL 34986-1618 | 7723447228 | WELLMED MEDICAL MANAGEMENT OF FLORIDA INC |
| Organization Legal Name | WELLMED MEDICAL MANAGEMENT OF FLORIDA INC |
| Physicians | 128 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yearim Gutierrez Cotto | Internal Medicine | Wellmed Medical Management of Florida Inc | 415 W 49th St, Suite 1, Hialeah, FL 33012-3637 |
| Tina Marie Fitch Carter | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 2701 W Saint Isabel St, Tampa, FL 33607-6324 |
| Barbara Muniz | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 13301 N Dale Mabry Hwy, Suite A, Tampa, FL 33618-2400 |
| Kimberly Anne Channels | Physician Assistant | Wellmed Medical Management of Florida Inc | 15320 Amberly Dr, Suite A, Tampa, FL 33647-1647 |
| Charlotte Ann Hall | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 11924 Sheldon Rd, Tampa, FL 33626-3643 |
| Hannah M Beavers | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 4278 W Linebaugh Ave, Suite B, Tampa, FL 33624-5241 |
| Melissa Pierre | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 1685 Gulf To Bay Blvd, Clearwater, FL 33755-6422 |
| Andrew P Chase | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 6350 Central Ave, St Petersburg, FL 33707-1430 |
| Holger Fabrizio Montesdeoca | Internal Medicine | Wellmed Medical Management of Florida Inc | 5979 Vineland Rd, Suite 208, Orlando, FL 32819-7855 |
| Sarkis Barupian | Family Practice | Wellmed Medical Management of Florida Inc | 6092sefederal Hwy, Stuart, FL 34997-8101 |
| Street Address |
513 NW LAKE WHITNEY PLACE SUITE 101 |
| City | PORT ST LUCIE |
| State | FL |
| Zip | 34986-1618 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bambi C Petrinic | Family Medicine | Wellmed Medical Management of Florida Inc | 513 Nw Lake Whitney Place, Suite 101, Port St Lucie, FL 34986-1618 |
| Kelley Marie Turco | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 513 Nw Lake Whitney Place, Suite 101, Port St Lucie, FL 34986-1618 |
| Ernesto Porras Polo | Internal Medicine | Wellmed Medical Management of Florida Inc | 513 Nw Lake Whitney Place, Suite 101, Port St Lucie, FL 34986-1618 |
| Katherine J Jones | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 513 Nw Lake Whitney Place, Suite 101, Port St Lucie, FL 34986-1618 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Delvis A Celdran | Neurology | 543 Nw Lake Whitney Place, Unit 105, Port St Lucie, FL 34986-1604 | |
| Spencer D Lee | Plastic and Reconstructive Surgery | 525 Nw Lake Whitney Pl, Suite 206, Port St Lucie, FL 34986-1605 | |
| Jad P Mahfood | Rheumatology | 549 Nw Lake Whitney Place, Suite 101, Port St Lucie, FL 34986-1606 | |
| Grace H Yoo | Obstetrics/gynecology | Florida Woman Care LLC | 501 Nw Lake Whitney Place, Suite 106, Port St Lucie, FL 34986-1615 |
| Gerald A Ross | Obstetrics/gynecology | Florida Woman Care LLC | 501 Nw Lake Whitney Place, Suite 106, Port St Lucie, FL 34986-1615 |
| Joseph W Marini | Physician Assistant | Tlc Medical Group Inc | 537 Nw Lake Whitney Pl, Suite 103 106, Port St Lucie, FL 34986-1620 |
| Anthony B Lewis | Cardiovascular Disease (cardiology) | Tlc Medical Group Inc | 537 Nw Lake Whitney Pl, Suite 103 106, Port St Lucie, FL 34986-1620 |
| Mirlange Odies Fleuriot | Nurse Practitioner | Tlc Medical Group Inc | 537 Nw Lake Whitney Pl, Suite 103 106, Port St Lucie, FL 34986-1620 |
| Adam J Ball | Urology | 579 Nw Lake Whitney Pl, Suite 105, Port Saint Lucie, FL 34986-1622 | |
| Melanie J De Guzman | Nurse Practitioner | Elite Hospitalists LLC | 579 Nw Lake Whitney Pl, Suite 101, Port St Lucie, FL 34986-1622 |
| Find all physicians in zip 34986 | |||
| City | PORT ST LUCIE |
| Zip Code | 34986 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PORT ST LUCIE + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.