Martin Memorial Medicenter At St Lucie West

LBN: Coastal Care Corporation
Martin Memorial Medicenter At St Lucie West is an health care organization with primary practice located at 1095 Nw Saint Lucie West Blvd , Port St Lucie FL 34986-1719. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Coastal Care Corporation can be contacted via phone (772) 785-5500, or through Debbie, Markey via phone (772) 785-5510.

Contact Information

Primary practice address
1095 Nw Saint Lucie West Blvd Port St Lucie FL 34986-1719
Phone: (772) 785-5500
Fax: (772) 785-5598
Website:
Map and Directions
Authorized official contact:
Name: Debbie, Markey
Phone: (772) 785-5510

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 110680041014466 Florida

Profile Details

NPI number 1821147059
LBN Legal business name Coastal Care Corporation
DBA Doing business as Martin Memorial Medicenter At St Lucie West
Authorized official Debbie, Markey
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2007
Last updated Aug 27th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821147059 NPPES
Florida MEDICAID 064696207

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