Organization · Type 2 NPI

Port ST Lucie Pain Management Specialists Inc

Pain Clinic/Center · Port St. Lucie, FL

NPI number 1114786001 Active

Practice location

8235 S US Highway 1
Port St. Lucie, FL 34952-2848

Fax (772) 335-7202

Specialties and licenses

Taxonomy	Code	License
Interventional Pain Medicine Physician	208VP0014X	None listed
Pain Clinic/Center Primary	261QP3300X	None listed

Pain Clinic/Center: Definition to come...

Another provider at this address

George Tuttle Iii, MDObstetrics & Gynecology Physician Port St. Lucie, FL NPI 1750391819

NPI record

NPI: 1114786001
Entity type: Organization (Type 2)
Issued: Mar 14, 2024
Last updated: Feb 12, 2026
Status: Active

Other names

<unavail>
Port ST Lucie Pain Management Specialists · doing business as
Port ST Lucie Pain Management Specialists · doing business as

Authorized official

Ms. Shannen Seversen
President
(561) 292-3747

Verify this record

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About NPI 1114786001

Port ST Lucie Pain Management Specialists Inc's National Provider Identifier is 1114786001, issued on Mar 14, 2024. The primary taxonomy on file is Pain Clinic/Center (261QP3300X), and the practice location is in Port St. Lucie, FL. The record was last updated on Feb 12, 2026.