Healthcare Provider Details

I. General information

NPI: 1154505501
Provider Name (Legal Business Name): ARC OF THE TREASURE COAST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2007
Last Update Date: 02/12/2026
Certification Date: 02/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 S. KANNER HIGHWAY
STUART FL
34994-4609
US

IV. Provider business mailing address

2001 S KANNER HWY
STUART FL
34994-4609
US

V. Phone/Fax

Practice location:
  • Phone: 772-283-2525
  • Fax: 772-286-6808
Mailing address:
  • Phone: 772-283-2525
  • Fax: 772-286-6808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code320700000X
TaxonomyPhysical Disabilities Residential Treatment Facility
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. KEITH W. MUNIZ
Title or Position: PRESIDENT/CEO
Credential:
Phone: 772-283-2525