MEDICARE: FP MEDICAL

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	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1316233588
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FP MEDICAL

Provider Business Mailing Address
First Line	:	1905 S 25TH ST
Second Line	:	SUITE 100
City	:	FORT PIERCE
State	:	FL
Zip	:	34947-4739
Country	:	US
Telephone Number	:	772-467-9083
Fax Number	:	772-464-6478

Provider Business Practice Location Address
First Line	:	1905 S 25TH ST
Second Line	:	SUITE 100
City	:	FORT PIERCE
State	:	FL
Zip	:	34947-4739
Country	:	US
Telephone Number	:	772-467-9083
Fax Number	:	772-464-6478

Authorized Official
Title or Position	:	OWNER
Name	:	MR. PETER BLAKE
Credential	:
Telephone Number	:	772-467-9083

Provider Enumeration Date	:	06/25/2011
Last Update Date	:	06/25/2011

Similar Medicare Providers

1386675767 — EDWARD W PELOTE M.D.
Practice Location Address:

1905 S 25TH ST , SUITE 100
FORT PIERCE, FL
34947-4739

Practice Phone: 772-465-9901
Practice Fax: 772-465-9807

1124160346 — EDWARD W PELOTE MD PA
Practice Location Address:

1905 S 25TH ST , SUITE 100
FORT PIERCE, FL
34947-4739

Practice Phone: 772-465-9901
Practice Fax:

1003145301 — HOLISTIC FAMILY & PAIN MANAGEMENT
Practice Location Address:

1905 S 25TH ST , STE100
FORT PIERCE, FL
34947-4739

Practice Phone: 772-467-9083
Practice Fax: 772-464-6478

1760775472 — A.M.A. OF BERVARD, INC.
Practice Location Address:

1905 S 25TH ST STE 100
FORT PIERCE, FL
34947-4739

Practice Phone: 772-467-9083
Practice Fax: 772-464-6478

1861788036 — TJ MEDICAL LLC
Practice Location Address:

1905 S 25TH ST , SUITE 100
FORT PIERCE, FL
34947-4739

Practice Phone: 772-467-9083
Practice Fax:

1497135495 — NU-WAY LIFE RECOVERY CENTER
Practice Location Address:

1905 S 25TH ST STE 103
FORT PIERCE, FL
34947-4739

Practice Phone: 772-577-7200
Practice Fax:

Directions to “FP MEDICAL ” 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.