NPI 1164790655

St. Lucie Medical Center

Organisation General Acute Care Hospital Port St Lucie, FL

Practice location

Address: 1800 SE Tiffany Ave, Port St Lucie, FL 34952-7521
Phone: (772) 398-1990
Mailing address: 139 Ocean Cove Dr, Jupiter, FL 33477-5983

Authorised official

Name: Thomas Matese
Title: Director Medical Education
Phone: (772) 398-1990

Registered specialties

General Acute Care Hospital Primary

Hospitals Taxonomy 282N00000X Licence UO2524 (FL)

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Registry record

NPI: 1164790655
Entity type: Organization
NPI issued: 12 Dec 2011
Record last updated: 12 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.