Organization · Type 2 NPI

5 Star Medical Care LLC

Adult Medicine Physician · Port St. Lucie, FL

NPI number 1376176917 Active

Practice location

542 SW Mccomb Ave
Port St. Lucie, FL 34953-3811

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505XNone listed

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

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About NPI 1376176917

5 Star Medical Care LLC's National Provider Identifier is 1376176917, issued on Feb 21, 2020. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Port St. Lucie, FL. The record was last updated on Oct 25, 2021.