EXCEPTIONAL CARE CHOICE LLC NPI 1710365051

NPI Information

  • NPI: 1710365051
  • Provider Name: EXCEPTIONAL CARE CHOICE, LLC
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Organization
  • Address: 1632 SW IVY ST
    PORT ST LUCIE, FL
    ZIP 34987
  • Phone: (917) 207-4785

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NPI Details

EXCEPTIONAL CARE CHOICE, LLC is an adult health nurse practitioner in Port St Lucie, FL. EXCEPTIONAL CARE CHOICE, LLC NPI is 1710365051. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1632 SW IVY ST
PORT ST LUCIE, FL
ZIP 34987-248
Phone: (917) 207-4785

The provider's authorized official is Gusti Labatte-deneau .
The authorized official title is Nurse Practitioner and has the following contact phone number (772) 333-9319.

The enumeration date for this NPI number is 5/6/2015 and was last updated on 10/2/2017.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthARNP9263802FLORIDAYes
2363LA2200XNurse PractitionerAdult HealthNo

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1016402900MEDICAIDFLORIDA

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: 11/21/2025

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