Unknown Individual – Family Nurse Practitioner, NPI 1528567583
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
3686, Southwest Carmody Street, Port St. Lucie, St. Lucie County, Florida, 34953, United States
PORT ST LUCIE, FL 34953
Phone: (239) 438-0602
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34953)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Family Practice | FL | |
| Nurse Practitioner | FL |
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