MEDICARE: ASHLEY EAST PA

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
1	207RG0300X	Geriatric Medicine (Internal Medicine) Physician

General Provider Information

NPI Number	:	1205794443
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASHLEY EAST PA

Provider Business Mailing Address
First Line	:	1460 SE PORTILLO RD
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34952-4984
Country	:	US
Telephone Number	:	772-203-8811
Fax Number	:

Provider Business Practice Location Address
First Line	:	1617 SE PORT ST LUCIE BLVD
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34952-5428
Country	:	US
Telephone Number	:	772-203-8811
Fax Number	:

Authorized Official
Title or Position	:	OWNER/NURSE PRACTITIONER
Name	:	ASHLEY LYNN EAST
Credential	:	NP
Telephone Number	:	772-203-8811

Provider Enumeration Date	:	01/15/2026
Last Update Date	:	03/04/2026

Similar Medicare Providers

1952509358 — DR. JOSHUA MATTHEW COLKMIRE D.D.S.
Practice Location Address:

1657 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL
34952-5428

Practice Phone: 772-337-4115
Practice Fax: 772-337-4116

1922478635 — MR. MICHAEL LEE YU BCBA
Practice Location Address:

1645 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL
34952-5428

Practice Phone: 772-773-1975
Practice Fax: 772-221-9969

1689232894 — RACHEL TORRESSON M.A., BCBA
Practice Location Address:

1645 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL
34952-5428

Practice Phone: 561-323-6593
Practice Fax:

1679357222 — TIARA SHANDERA PERCH
Practice Location Address:

1645 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL
34952-5428

Practice Phone: 877-591-1888
Practice Fax:

1861429920 — WILLIAM WALTER LAMPARD MD
Practice Location Address:

1609 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL
34952-5428

Practice Phone: 772-398-0067
Practice Fax: 772-398-0067

1619248697 — POB ASSOCIATES, PL
Practice Location Address:

1657 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL
34952-5428

Practice Phone: 772-337-4115
Practice Fax: 772-337-4116

Directions to “ASHLEY EAST PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.