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OGLETHORPE OF PORT ST LUCIE LLC NPI 1093748162


NPI Information

NPI: 1093748162
Provider Name: OGLETHORPE OF PORT ST LUCIE LLC

Doing Business As: PORT ST LUCIE HOSPITAL

Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization
Address:
18302 HIGHWOODS PRESERVE PKWY
SUITE 114
TAMPA, FL
ZIP 33647
Phone: (813) 978-1933
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OGLETHORPE OF PORT ST LUCIE LLC is a psychiatric hospital in Tampa, FL. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. OGLETHORPE OF PORT ST LUCIE LLC NPI is 1093748162. The provider is registered as an organization entity type.
The provider Is Doing Business As Port St Lucie Hospital.

The provider's business location address is:

18302 HIGHWOODS PRESERVE PKWY
SUITE 114
TAMPA, FL
ZIP 33647-758
Phone: (813) 978-1933
Fax: (813) 978-1951

The provider's authorized official is James Edmund O'shea .
The authorized official title is Director/administrator and has the following contact phone number (813) 978-1933.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 3/10/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1283Q00000XPsychiatric HospitalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1104070MEDICARE ID-TYPE UNSPECIFIEDFLORIDAMEDICARE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.