Organization · Type 2 NPI
Treasure Coast Neurology West, LLC
Multi-Specialty Clinic/Center · Port St. Lucie, FL
NPI number
1619921301
Active
Practice location
1420 SW Saint Lucie West Blvd, Suite 102
Port St. Lucie, FL 34986-1709
Fax (772) 595-9986
Mailing address
PO Box 881565
Port St. Lucie, FL 34988-1565
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | ARNP 3283142 (FL) |
Multi-Specialty Clinic/Center: Definition to come...
3 other providers at this address
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About NPI 1619921301
Treasure Coast Neurology West, LLC's National Provider Identifier is 1619921301, issued on May 19, 2006. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Port St. Lucie, FL. The record was last updated on Aug 22, 2020.