TREASURE COAST PRIMARY CARE NPI 1992179527

NPI Information

  • NPI: 1992179527
  • Provider Name: TREASURE COAST PRIMARY CARE
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 1801 SE HILLMOOR DR
    BUILDING A SUITE 108
    PORT SAINT LUCIE, FL
    ZIP 34952
  • Phone: (772) 800-7340

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NPI Details

TREASURE COAST PRIMARY CARE is a primary care clinic center in Port Saint Lucie, FL. TREASURE COAST PRIMARY CARE NPI is 1992179527. The provider is registered as an organization entity type.

The provider's business location address is:

1801 SE HILLMOOR DR
BUILDING A SUITE 108
PORT SAINT LUCIE, FL
ZIP 34952-553
Phone: (772) 800-7340
Fax: (772) 403-2379

The provider's authorized official is Robert Gluckman .
The authorized official title is Cheif Operating Officer and has the following contact phone number (772) 800-7340.

The enumeration date for this NPI number is 11/19/2015 and was last updated on 11/19/2015.

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
1261QP2300XClinic/CenterPrimary CareYes

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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