Organization · Type 2 NPI

Martin Memorial Medical Center Inc

General Practice Physician · Port St. Lucie, FL

NPI number 1235068644 Active

Practice location

1095 NW Saint Lucie West Blvd Ste 200
Port St. Lucie, FL 34986-1719

Call (772) 785-5588 Map

Mailing address

6801 Brecksville Rd, Ste 20, Attn: Dpc RK2-7
Independence, OH 44131-5062

Specialties and licenses

Taxonomy	Code	License
General Practice Physician Primary	208D00000X	None listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Other general practice physician providers in Port St. Lucie

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NPI record

NPI: 1235068644
Entity type: Organization (Type 2)
Issued: May 14, 2026
Last updated: May 29, 2026
Status: Active

Other names

Cleveland Clinic Martin North, South, Tradition Hospitals · doing business as

Authorized official

Dennis Lee Laraway
Executive VP Chief Finance Officer
(216) 445-1343

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1235068644

Martin Memorial Medical Center Inc's National Provider Identifier is 1235068644, issued on May 14, 2026. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Port St. Lucie, FL. The record was last updated on May 29, 2026.