DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: VA PRIMARY CARE CLINIC

MEDICARE: VA PRIMARY CARE CLINIC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/CenterSW7718FL

General Provider Information

NPI Number : 1891775581
Entity Type Code : Organization
Provider Name (Legal Business Name) : VA PRIMARY CARE CLINIC
Provider Business Mailing Address
First Line : 727 N US HIGHWAY 1
Second Line :
City : FORT PIERCE
State : FL
Zip : 34950-9125
Country : US
Telephone Number : 772-595-5150
Fax Number : 772-595-6560
Provider Business Practice Location Address
First Line : 727 N US HIGHWAY 1
Second Line :
City : FORT PIERCE
State : FL
Zip : 34950-9125
Country : US
Telephone Number : 772-595-5150
Fax Number : 772-595-6560
Authorized Official
Title or Position : SOCIAL WORKER
Name : MS. CAROLE BETH EILENBERG
Credential : LCSW
Telephone Number : 772-595-5150
Provider Enumeration Date : 01/19/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1629347026 — JULIANA CHRISTINE ELLIOTT APRN, FNP-C
Practice Location Address:
725 N US HIGHWAY 1
FORT PIERCE, FL
34950-9125
Practice Phone: 772-468-9900
Practice Fax: 772-468-2364
1427618156 — JINNAIL MONIQUE SESSIONS-HOUSTON APRN, FNP-BC
Practice Location Address:
725 N US HIGHWAY 1
FORT PIERCE, FL
34950-9125
Practice Phone: 772-468-9900
Practice Fax: 772-468-2364
1760763833 — CATHY LYNN SMITH APRN
Practice Location Address:
725 N US HIGHWAY 1
FORT PIERCE, FL
34950-9125
Practice Phone: 772-468-9900
Practice Fax: 772-468-2364
1225611965 — DEANNE LOAGUE MD
Practice Location Address:
725 N US HIGHWAY 1
FORT PIERCE, FL
34950-9125
Practice Phone: 772-468-9900
Practice Fax: 772-468-2364
1477901528 — DAILY HERNANDEZ FALCON MD
Practice Location Address:
725 N US HIGHWAY 1
FORT PIERCE, FL
34950-9125
Practice Phone: 772-468-9900
Practice Fax: 772-468-2364
1598297301 — ANGIE PATRICIA MATOS-HERNANDEZ M.D.
Practice Location Address:
725 N US HIGHWAY 1
FORT PIERCE, FL
34950-9125
Practice Phone: 772-468-9900
Practice Fax: 772-468-2364

Directions to “VA PRIMARY CARE CLINIC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.