George Ryan Mattes (NPI# 1376098285, PAC ID# 6800174616) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
Nation Provider ID (NPI) | 1376098285 |
PAC ID by PECOS | 6800174616 |
Professional Enrollment ID | I20161031000316 |
Full Name | George Ryan Mattes |
Organization Legal Name | PREMIER WELLNESS CENTERS EAST LLC |
Address |
7043 S Us Hwy 1 Suite 100 Port St Lucie FL 34952-1401 |
Phone Number | 7728798100 |
Gender | M |
Graduation Year | 2016 |
Primary Specialty | CHIROPRACTIC |
Group Practice PAC ID | 2163746926 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
10050 Sw Innovation Way, Suite 201, Port St Lucie, FL 34987-2117 | 7728798700 | PREMIER WELLNESS CENTERS LLC |
7043 S Us Hwy 1, Suite 100, Port St Lucie, FL 34952-1401 | 7728798100 | PREMIER WELLNESS CENTERS EAST LLC |
Organization Legal Name | PREMIER WELLNESS CENTERS EAST LLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kyle Hunter | Physical Therapy | Premier Wellness Centers East LLC | 7043 S Us Hwy 1, Suite 100, Port St Lucie, FL 34952-1401 |
Street Address |
7043 S US HWY 1 SUITE 100 |
City | PORT ST LUCIE |
State | FL |
Zip | 34952-1401 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kyle Hunter | Physical Therapy | Premier Wellness Centers East LLC | 7043 S Us Hwy 1, Suite 100, Port St Lucie, FL 34952-1401 |
Name | Specialty | Organization | Address |
---|---|---|---|
Claudia Patricia Santamaria | Nurse Practitioner | Primary Care Associates, Pa | 8483 S Us, Suite 19, Port St Lucie, FL 34952 |
Heather L Hackney | Qualified Audiologist | James L Autin Md Pa | 10377s Us One Hwy 101, Port Saint Lucie, FL 34952 |
Cynthia J Rogers | Dermatology | 8503 S Us, Suite 1, Port St Lucie, FL 34952 | |
Anthony Glenn Rogers | Anesthesiology | Port St Lucie Pain Management Pllc | 8235s Us Hwy 1, Port St Lucie, FL 34952 |
Diane Leigh Pugh | Family Medicine | Primary Care Associates, Pa | 8483 S Us, Suite 19, Port St Lucie, FL 34952 |
James L Autin | Otolaryngology | James L Autin Md Pa | 10377s Us One Hwy 101, Port Saint Lucie, FL 34952 |
Carolyn A Rawdon | Nurse Practitioner | Primary Care Associates, Pa | 8483 S Us, Suite 19, Port St Lucie, FL 34952 |
Kenneth Weiss | Otolaryngology | James L Autin Md Pa | 10377s Us One Hwy 101, Port Saint Lucie, FL 34952 |
Ravi Mehan | Internal Medicine | Primary Care Associates, Pa | 8483 S Us, Suite 19, Port St Lucie, FL 34952 |
Glynnis Jayne Lyons | General Practice | Primary Care Associates, Pa | 8483 S Us, Suite 19, Port St Lucie, FL 34952 |
Find all physicians in zip 34952 |
City | PORT ST LUCIE |
Zip Code | 34952 |
Specialty | CHIROPRACTIC |
City + Specialty | PORT ST LUCIE + CHIROPRACTIC |
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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.