Healthcare Provider Details

I. General information

NPI: 1386590263
Provider Name (Legal Business Name): TRUEVANTAGE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2026
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129 NE TUNISON AVE
PORT ST LUCIE FL
34983-1732
US

IV. Provider business mailing address

10380 SW VILLAGE CENTER DR # 129
PORT ST LUCIE FL
34987-1931
US

V. Phone/Fax

Practice location:
  • Phone: 561-581-3323
  • Fax:
Mailing address:
  • Phone: 561-581-3323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MS. KIESHA THOMAS
Title or Position: PRESIDENT
Credential:
Phone: 561-513-7990