Treasure Coast Neuroscience and Wellness Center LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

ME131849 Issued in FL

Legal business name

TREASURE COAST NEUROSCIENCE AND WELLNESS CENTER LLC

Practice address

1701 S 23Rd St
Fort Pierce, FL 34950-4804

Phone

(772) 448-8600

NPI assigned

May 11, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tariq Gheith, MD

Title

Owner

Phone

(708) 856-2338

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1093242844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 S 23RD ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504804",
            "telephone_number": "772-448-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 S 23RD ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504804",
            "telephone_number": "772-448-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST NEUROSCIENCE AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GHEITH",
        "authorized_official_first_name": "TARIQ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-856-2338",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME131849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022360500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Treasure Coast Medical Group, PA
• Treasure Coast Medortho LLC (Treasure Coast Injury & Walk-In Clinic)
• Treasure Coast Mobile Rehab
• Treasure Coast Nephrology LLC
• Treasure Coast Neurology, Inc
• Treasure Coast Non-Surgical Orthopedics PLLC
• Treasure Coast Prosthetics & Orthotics Services, Inc.
• Treasure Coast Senior Care LLC
• Treasure Coast Surgical Center Inc
• Treasure Coast Transportation Services Inc.

• Neurology Physician in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.