Healthcare Provider Details
I. General information
NPI: 1992573893
Provider Name (Legal Business Name): MG PRIMARY CARE SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/19/2023
Last Update Date: 06/15/2025
Certification Date: 06/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1605 NW FEDERAL HWY
STUART FL
34994-9629
US
IV. Provider business mailing address
1605 NW FEDERAL HWY
STUART FL
34994-9629
US
V. Phone/Fax
- Phone: 772-480-5860
- Fax: 772-264-8310
- Phone: 772-480-5860
- Fax: 772-264-8310
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MELISSA
GIARRATANO
Title or Position: OWNER
Credential: APRN
Phone: 772-285-8056