Active NPI
Wellmed Medical Management of Florida Inc
- Family Medicine Physician
- Port St Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- WELLMED MEDICAL MANAGEMENT OF FLORIDA INC
- Practice address
- 549 NW Lake Whitney Place
BLDG I, Suite 101
Port St Lucie, FL 34986 - Phone
- (210) 617-4706
- NPI assigned
- Jan 17, 2008
- Last updated
- Jun 16, 2023
- Organization subpart
- Yes
- Parent organization
- WELLMED MEDICAL MANAGEMENT INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph Zimmerman
- Title
- Secretary
- Phone
- (210) 617-4706
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
549 NW Lake Whitney Place
BLDG I, Suite 101
Port St Lucie, FL 34986
Mailing address
19500 Ih-10W, MS1-5030
Attn: Licensing & Regulatory
San Antonio, TX 78257
Phone (210) 617-4706
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080815000432 | FL | Part B Supplier - Clinic/Group Practice | 3971678558 |
Receives reassigned benefits from 209 practitioners 1 other NPI on this enrollment Practice locations: Orlando, FL; Palm Harbor, FL; Plant City, FL; Port St Lucie, FL; Port St. Lucie, FL; Sanford, FL; Sebastian, FL; St Petersburg, FL… |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Family Medicine Physician
- Kissimmee, FL
- NPI 1053695312
O20080815000432
National Provider Directory
National Provider Directory- Part of
- Tower Medical Group
Locations (25 of 41)
140 N Westmonte Dr
Altamonte Springs, FL 32714
Phone (407) 862-4500
415 Apollo Beach Blvd
Apollo Beach, FL 33572
Phone (813) 645-8494
202 N Park Ave
Apopka, FL 32703
Phone (407) 889-4711
1685 Gulf To Bay Blvd
Clearwater, FL 33755
Phone (727) 442-0500
841 Oakley Seaver Dr
Unit A
Clermont, FL 34711
Phone (352) 241-0037
2380 North Blvd W
Ste 1
Davenport, FL 33837
Phone (863) 422-8574
23421 Walden Center Dr
Ste 100
Estero, FL 34134
Phone (239) 444-0700
13861 Plantation Rd
Ste 104
Fort Myers, FL 33912
Phone (239) 225-1306
306 E Oak St
Kissimmee, FL 34744
Phone (407) 343-2700
591 Oak Commons Blvd
Kissimmee, FL 34741
Phone (407) 343-2700
260 Wekiva Springs Rd
Ste 1000
Longwood, FL 32779
Phone (407) 865-5909
2735 W State Road 434
Unit 1031
Longwood, FL 32779
Phone (407) 865-5909
15953 N Florida Ave
Lutz, FL 33549
Phone (813) 513-0808
100 N State Road 7
Ste 301AB
Margate, FL 33063
Phone (954) 933-9090
701 NW 57th Ave
Ste 150
Miami, FL 33126
Phone (305) 260-2680
9101 SW 24th St
Ste 100
Miami, FL 33165
Phone (305) 260-7506
1217 Piper Blvd
Ste 101
Naples, FL 34110
Phone (239) 514-2005
15455 Collier Blvd
Unit 201
Naples, FL 34119
Phone (239) 514-2005
1118 S Orange Ave
Ste 201
Orlando, FL 32806
Phone (407) 423-5178
3151 N Alafaya Trl
Ste 101
Orlando, FL 32826
Phone (407) 207-5000
3160 Southgate Commerce Blvd
Ste 34
Orlando, FL 32806
Phone (407) 423-5178
3927 Rosewood Way
Orlando, FL 32808
Phone (407) 292-2200
5575 S Semoran Blvd
Orlando, FL 32822
Phone (321) 442-9923
5575 S Semoran Blvd
Ste 26
Orlando, FL 32822
Phone (407) 401-8637
7400 Docs Grove Cir
Orlando, FL 32819
Phone (407) 352-9717
Practitioners & affiliated clinicians
Practitioners 235
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Altamonte Springs, FL
- NPI 1952511917
-
- Internal Medicine Physician
- Kissimmee, FL
- NPI 1134117120
-
- Family Nurse Practitioner
- North Fort Myers, FL
- NPI 1841410545
-
- Internal Medicine Physician
- Apopka, FL
- NPI 1386601839
-
- Family Medicine Physician
- Punta Gorda, FL
- NPI 1134133192
-
- Internal Medicine Physician
- St Petersburg, FL
- NPI 1790765469
-
- Family Medicine Physician
- Orlando, FL
- NPI 1508885476
-
- Nurse Practitioner
- St Petersburg, FL
- NPI 1184316341
-
- Family Nurse Practitioner
- Orlando, FL
- NPI 1386529816
-
- Internal Medicine Physician
- Apollo Beach, FL
- NPI 1154388452
-
- Family Medicine Physician
- Winter Garden, FL
- NPI 1104239862
-
- Internal Medicine Physician
- Sun City Center, FL
- NPI 1952441719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686873600000",
"number": "1033395397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19500 IH-10W, MS1-5030",
"address_2": "ATTN: LICENSING & REGULATORY",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78257",
"telephone_number": "210-617-4706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "549 NW LAKE WHITNEY PLACE",
"address_2": "BLDG I, SUITE 101",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "34986",
"telephone_number": "210-617-4706"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLMED MEDICAL MANAGEMENT OF FLORIDA INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WELLMED MEDICAL MANAGEMENT INC",
"enumeration_date": "2008-01-17",
"last_updated": "2023-06-16",
"certification_date": "2023-06-16",
"status": "A",
"authorized_official_last_name": "ZIMMERMAN",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "210-617-4706"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.