PHYSICIANS IMMEDIATE CARE NPI 1952572430

NPI Information

  • NPI: 1952572430
  • Provider Name: PHYSICIANS IMMEDIATE CARE
  • Classification: Non-Pharmacy Dispensing Site - 332900000X
  • Entity Type: Organization
  • Address: 4007 SW PORT ST LUCIE BLVD
    SUITE #12
    PORT ST LUCIE, FL
    ZIP 34953
  • Phone: (772) 343-1774

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NPI Details

PHYSICIANS IMMEDIATE CARE is a non pharmacy dispensing site in Port St Lucie, FL. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) PHYSICIANS IMMEDIATE CARE NPI is 1952572430. The provider is registered as an organization entity type.

The provider's business location address is:

4007 SW PORT ST LUCIE BLVD
SUITE #12
PORT ST LUCIE, FL
ZIP 34953-679
Phone: (772) 343-1774
Fax: (772) 343-1744

The provider's authorized official is Kenneth J Palestrant .
The authorized official title is Physician and has the following contact phone number (772) 343-1774.

The enumeration date for this NPI number is 3/12/2008 and was last updated on 3/12/2008.

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
1332900000XNon-Pharmacy Dispensing SiteFP0126222FLORIDAYes

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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