NPIMap

Organization Active NPI

Florida Coast Medical and Surgical Center, Inc.

Doing business as Florida Coast Medical Center

  • General Acute Care Hospital
  • Port St Lucie, FL
National Provider Identifier
1003618406
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
FLORIDA COAST MEDICAL AND SURGICAL CENTER, INC.
Doing business as
Florida Coast Medical Center
Practice address
310 SE Veranda Falls Way
Port St Lucie, FL 34984-2101
Phone
(772) 309-8500
Fax
(772) 607-5256
NPI assigned
Mar 26, 2025
Last updated
Sep 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Angelo Pagano
Title
VP
Phone
(469) 893-2327

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

310 SE Veranda Falls Way
Port St Lucie, FL 34984-2101

Mailing address

PO Box 591
Chesterton, IN 46304-0591
Phone (772) 309-8500

Other names 1

  • Florida Coast Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250805001762 FL Part A Provider - Hospital 1850809377 Practice locations: Port St Lucie, FL

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1003618406. Details of each certification follow.

Hospital certification: CCN 100366

Legal name
FLORIDA COAST MEDICAL AND SURGICAL CENTER, INC.
Doing business as
FLORIDA COAST MEDICAL CENTER
Organization structure
CorporationProprietary
Enrollment address
310 SE Veranda Falls Way
Port St Lucie, FL 34984-2101
Main/Primary Hospital Location
Hospital subgroups
Acute care

Hospital certification: CCN 100352

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
FLORIDA COAST MEDICAL CENTER
Certification status
Terminated Voluntary: merger or closure, Oct 10, 2025
Provider type (POS)
Hospital – Short-term
Participating since
Oct 9, 2025
Last certification
Oct 9, 2025
Beds
54
Ownership / control type
Private (for profit)
Facility address
310 SE Veranda Falls Way
Port Saint Lucie, FL 34984

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2318698Florida Coast Medical and Surgical Center, Inc310 SE Veranda Falls Way, Laboratory 2ND Floor, Port Saint Lucie, FL 34984RegistrationFeb 16, 2027

National Provider Directory

National Provider Directory

Networks

  • AL HMO D-SNP
  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Tenet Healthcare Corporation Organization, Dallas, TX Corporation, For-profit, Chain home office 5% Or Greater Indirect Ownership Interest Apr 27, 2022 100%
Sharilee Smith Individual Corporate DirectorDirector Mar 1, 2024
Angelo P Pagano Individual Corporate OfficerVice President Jul 1, 2024
Tenet Florida, Inc. Organization, Dallas, TX Corporation, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 27, 2022 100%
John Sherrill Individual Corporate OfficerPresident Dec 9, 2024
W-2 Managing EmployeeCeo Dec 9, 2024
Health Services Network Hospitals, Inc. Organization, Dallas, TX Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 27, 2022 100%
Kristina a Mack Individual Corporate OfficerSecretary Apr 27, 2022
Joshua Burkett Individual Corporate OfficerTreasurer Oct 20, 2024

Facilities with the same owner 91

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 91

Practitioners & affiliated clinicians

Affiliated clinicians 117

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 117

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1003618406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 591",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463040591",
            "telephone_number": "772-309-8500",
            "fax_number": "772-607-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 SE VERANDA FALLS WAY",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349842101",
            "telephone_number": "772-309-8500",
            "fax_number": "772-607-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA COAST MEDICAL AND SURGICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-26",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "PAGANO",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "469-893-2327"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Florida Coast Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.