Organization

St Lucie Hospitalists Llc

Hospitalist Physician in Port St Lucie, FL(View on Map)

Legal Business Name

St Lucie Hospitalists Llc

NPI Number

1790955060

NPI Type

Organization

Enumeration Date

03/03/2008

Specialties

(Taxonomies)

Code

208M00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

3 MARYLAND FARMS
1800 SE TIFFANY AVE

City

Brentwood
Port St Lucie

State

TN
FL

Postal Code

37027-5005
34952-7521

Country

US
US

Telephone Number

(800) 661-3365
(772) 398-1969

Authorized Official

Name

Gary Duncan

Title or Position

VP

Telephone Number

(954) 767-5716

Identifiers

Identifier

DO8648
000775400

Identifier State

FL
FL

Identifier Issuer

RR MEDICARE
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/04/2010

Provider Address

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