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NPI Code Detail

MEDICARE: ST LUCIE EMERGENCY GROUP LLC

MEDICARE: ST LUCIE EMERGENCY GROUP LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician
2363A00000XPhysician Assistant
3363L00000XNurse Practitioner

General Provider Information

NPI Number : 1164409702
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST LUCIE EMERGENCY GROUP LLC
Provider Business Mailing Address
First Line : 200 CORPORATE BLVD
Second Line : SUITE 201
City : LAFAYETTE
State : LA
Zip : 70508-3870
Country : US
Telephone Number : 800-893-9698
Fax Number : 337-371-4665
Provider Business Practice Location Address
First Line : 1700 S 23RD ST
Second Line :
City : FORT PIERCE
State : FL
Zip : 34950-4803
Country : US
Telephone Number : 800-893-9698
Fax Number :
Authorized Official
Title or Position : CEO
Name : DR. WILLIAM C SCHUMACHER
Credential : MD
Telephone Number : 800-893-9698
Provider Enumeration Date : 12/26/2005
Last Update Date : 09/11/2025

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Directions to “ST LUCIE EMERGENCY GROUP LLC ” Practice Location

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