NPI Code Details Logo

NPI 1649437765

NPI 1649437765 : LAWNWOOD HEALTHCARE SPECIALISTS LLC : FORT PIERCE, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1649437765
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    LAWNWOOD HEALTHCARE SPECIALISTS LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/16/2008
-----------------------------------------------------
    Last Update Date     |    02/09/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2401 FRIST BLVD STE 3-5 
-----------------------------------------------------
    City                 |    FORT PIERCE
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    34950-4839
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    772-462-3939
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2000 HEALTH PARK DR 
-----------------------------------------------------
    City                 |    BRENTWOOD
-----------------------------------------------------
    State                |    TN
-----------------------------------------------------
    Zip                  |    37027-4692
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    772-462-3939
-----------------------------------------------------
    Fax                  |    772-462-3938
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    VP
-----------------------------------------------------
    Name                 |     BENJAMIN  CALKINS 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    615-372-7600
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207T00000X
-----------------------------------------------------
    Taxonomy Name        |    Neurological Surgery Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.