Healthcare Provider Details

I. General information

NPI: 1073428231
Provider Name (Legal Business Name): LC HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13447 SW GINGERLINE DR
PORT SAINT LUCIE FL
34987-6517
US

IV. Provider business mailing address

382 NE 191ST ST PMB 749309
MIAMI FL
33179-3899
US

V. Phone/Fax

Practice location:
  • Phone: 772-200-2987
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: SRI RAMESH EEVANI
Title or Position: MANAGER
Credential:
Phone: 908-720-5815