MEDICARE: WOMEN'S HEALTHCARE OF PORT ST LUCIE 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
1	207VX0000X	Obstetrics Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AA578	OTHER	FL	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	77952	OTHER	FL	BCBSFL

General Provider Information

NPI Number	:	1407882194
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOMEN'S HEALTHCARE OF PORT ST LUCIE LLC

Provider Business Mailing Address
First Line	:	1696 SE HILLMOOR DR
Second Line	:	SUITE A
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34952-7699
Country	:	US
Telephone Number	:	772-337-4600
Fax Number	:	772-337-7600

Provider Business Practice Location Address
First Line	:	1696 SE HILLMOOR DR
Second Line	:	SUITE A
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34952-7699
Country	:	US
Telephone Number	:	772-337-4600
Fax Number	:	772-337-7600

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	GONZALO A ORIA
Credential	:	M.D.
Telephone Number	:	772-337-4600

Provider Enumeration Date	:	06/24/2006
Last Update Date	:	04/15/2008

Similar Medicare Providers

1851393599 — DR. DOUGLAS H. KAHN DPM
Practice Location Address:

1696 SE HILLMOOR DR # TD , STE B
PORT ST LUCIE, FL
34952-7699

Practice Phone: 772-335-1200
Practice Fax: 772-335-1292

1801880521 — RONALD E MCCORD OD PA
Practice Location Address:

1696 SE HILLMOOR DR , STE B
PORT ST LUCIE, FL
34952-7699

Practice Phone: 772-335-2209
Practice Fax: 772-337-9177

1992794663 — DR. HARRIS IRA GOLDBERG D.C.
Practice Location Address:

1696 SE HILLMOOR DR , STE C
PORT SAINT LUCIE, FL
34952-7699

Practice Phone: 772-335-3222
Practice Fax: 772-335-3793

1427032028 — MRS. GLORY IVELISSE GUERRERO ARNP
Practice Location Address:

1696 SE HILLMOOR DR
PORT ST LUCIE, FL
34952-7699

Practice Phone: 772-692-2024
Practice Fax: 772-692-1555

1639157183 — DR. AARON M SHEVLIN DPM
Practice Location Address:

1696 SE HILLMOOR DR , STE B
PORT ST LUCIE, FL
34952-7699

Practice Phone: 772-335-1200
Practice Fax: 772-335-1292

1083666325 — GONZALO A ORIA MD
Practice Location Address:

1696 SE HILLMOOR DR , SUITE A
PORT ST LUCIE, FL
34952-7699

Practice Phone: 772-337-4600
Practice Fax: 772-337-7600

Directions to “WOMEN'S HEALTHCARE OF PORT ST LUCIE LLC ” 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.