Organization Active NPI

Wellmed Medical Management of Florida Inc

  • Family Medicine Physician
  • Port St Lucie, FL
National Provider Identifier
1033395397
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
WELLMED MEDICAL MANAGEMENT INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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.

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.

View all 235

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.

Verify at the official NPI Registry.