=====================================================
General NPI Number Information
=====================================================
NPI Number | 1831273309
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ASSOCIATES IN MEDICINE, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/24/2006
-----------------------------------------------------
Last Update Date | 02/22/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10023 S US HIGHWAY 1 SUITE A
-----------------------------------------------------
City | PORT ST LUCIE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34952-5643
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 772-398-5339
-----------------------------------------------------
Fax | 772-337-2666
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 8390
-----------------------------------------------------
City | PORT ST LUCIE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34985-8390
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 772-398-5339
-----------------------------------------------------
Fax | 772-337-2666
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | JOSE FILIPE PINTO
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 772-398-5339
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | ME87434
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------