Healthcare Provider Details

I. General information

NPI: 1770957334
Provider Name (Legal Business Name): TREASURE COAST URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2015
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 SE OCEAN BLVD
STUART FL
34996-2518
US

IV. Provider business mailing address

1100 SE OCEAN BLVD
STUART FL
34996-2518
US

V. Phone/Fax

Practice location:
  • Phone: 772-419-0560
  • Fax: 772-403-2379
Mailing address:
  • Phone: 772-419-0560
  • Fax: 772-403-2379

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. ROBERT GLUCKMAN
Title or Position: CHIEF OPERATING OFFICER
Credential: ESQ.
Phone: 772-419-0560