Florida Respiratory-St Lucie Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

HCC6082 Issued in FL

Legal business name

FLORIDA RESPIRATORY-ST LUCIE INC

Practice address

1985 71St Ave
Vero Beach, FL 32966-7915

Phone

(772) 778-2101

Fax

(772) 778-2102

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Stephen Eric Jordan

Title

GM/President

Phone

(772) 778-2101

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John S Suen, MD

  • Specialist
  • Vero Beach, FL
  • NPI 1710987292
  NPD
• Iheonu Usouwa Oriaku, MD

  • Physical Medicine & Rehabilitation Physician
  • Vero Beach, FL
  • NPI 1164579827
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1023033669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1985 71ST AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329667915",
            "telephone_number": "772-778-2101",
            "fax_number": "772-778-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 71ST AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329667915",
            "telephone_number": "772-778-2101",
            "fax_number": "772-778-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA RESPIRATORY-ST LUCIE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "GM/PRESIDENT",
        "authorized_official_telephone_number": "772-778-2101"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC6082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida Eye Institute Surgicenter LLC
• Florida Eye Institute, P.a.
• Florida Institute for Physical Rehabilitation, P.L.L.C.
• Florida Neuropsychology Group PA
• Florida Physical Therapy & Occupational Therapy LLC
• Florida Senior Care Services, LLC
• Florida Woman Care of Indian River County, LLC
• Sharon Flowers McKenzie
• Valli Jo Flynn, APRN
• Amy Elizabeth Fodor, LCSW

• Clinic/Center in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.