DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: FAMILY MEDICAL PRACTICE OF THE TREASURE COAST PA

MEDICARE: FAMILY MEDICAL PRACTICE OF THE TREASURE COAST 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
1207Q00000XFamily Medicine PhysicianME0034175FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
295303OTHERFLBCBS FL

General Provider Information

NPI Number : 1811183668
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY MEDICAL PRACTICE OF THE TREASURE COAST PA
Provider Business Mailing Address
First Line : PO BOX 12250
Second Line :
City : FORT PIERCE
State : FL
Zip : 34979-2250
Country : US
Telephone Number : 772-645-9901
Fax Number : 772-465-9870
Provider Business Practice Location Address
First Line : 2100 NEBRASKA AVENUE
Second Line : STE 205
City : FORT PIERCE
State : FL
Zip : 34950
Country : US
Telephone Number : 772-645-9901
Fax Number : 772-465-9870
Authorized Official
Title or Position : OWNER
Name : DR. JAMES ALFRED ROBERTS
Credential : M.D.
Telephone Number : 772-468-9901
Provider Enumeration Date : 09/14/2007
Last Update Date : 05/25/2018

Similar Medicare Providers

1740128909 — HAFSA SHEHZAD RIZVI
Practice Location Address:
1700 S 23RD ST FL 34950
FORT PIERCE, FL
34950-4803
Practice Phone: 772-468-4554
Practice Fax:
1366380552 — LIANA NGOC LY
Practice Location Address:
1700 S 23RD ST
FORT PIERCE, FL
34950-4803
Practice Phone: 772-468-4554
Practice Fax:
1346188547 — GIOVANNI VERTUS
Practice Location Address:
1700 S 23RD ST
FORT PIERCE, FL
34950-4803
Practice Phone: 772-468-4554
Practice Fax:
1235077447 — NICHOLAS RYAN GALLO DO
Practice Location Address:
1700 S 23RD ST
FORT PIERCE, FL
34950-4803
Practice Phone: 772-468-4554
Practice Fax:
1912845066 — SELINA YOSSEF
Practice Location Address:
1700 S 23RD ST
FORT PIERCE, FL
34950-4803
Practice Phone: 772-468-4554
Practice Fax:
1225976319 — MONTASER SAKIB HUQ TALUKDER MD
Practice Location Address:
1700 S 23RD ST
FORT PIERCE, FL
34950-4803
Practice Phone: 772-468-4554
Practice Fax:
1679411771 — FARYA FAKOORI
Practice Location Address:
1700 S 23RD ST FL 34950
FORT PIERCE, FL
34950-4803
Practice Phone: 772-468-4554
Practice Fax:

Directions to “FAMILY MEDICAL PRACTICE OF THE TREASURE COAST 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.