Organization Active NPI

Jeffrey S Gottfried DO PA

Doing business as HCA FL St. Lucie Medical Specialists

  • Family Medicine Physician
  • Fort Pierce, FL
National Provider Identifier
1164630091
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0S7057 Issued in FL
Legal business name
JEFFREY S GOTTFRIED DO PA
Doing business as
HCA FL St. Lucie Medical Specialists
Practice address
5000 Okeechobee Rd Ste B
Fort Pierce, FL 34947-5492
Phone
(772) 464-6551
Fax
(772) 465-0322
NPI assigned
May 21, 2007
Last updated
Feb 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Authorized official

Name
Miriam Gottfried
Title
Manager
Phone
(772) 464-6551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0S7057 FL Primary

Addresses

Primary practice location

5000 Okeechobee Rd Ste B
Fort Pierce, FL 34947-5492

Mailing address

5000 Okeechobee Rd Ste B
Fort Pierce, FL 34947-5492
Phone (772) 464-6551

Other names 1

  • HCA FL St. Lucie Medical Specialists Doing business as

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
10D0946741HCA Florida St Lucie Medical Specialists5000 Okeechobee Road Suite B, Fort Pierce, FL 34947Certificate of waiverDec 13, 2027

National Provider Directory

National Provider Directory

Locations

5000 Okeechobee Rd
Ste B
Fort Pierce, FL 34947
Phone (772) 464-6551

900 Virginia Ave
Ste 10
Fort Pierce, FL 34982
Phone (772) 287-7511

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1164630091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 OKEECHOBEE RD STE B",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349475492",
            "telephone_number": "772-464-6551",
            "fax_number": "772-465-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 OKEECHOBEE RD STE B",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349475492",
            "telephone_number": "772-464-6551",
            "fax_number": "772-465-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY S GOTTFRIED DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "GOTTFRIED",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "772-464-6551"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "0S7057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HCA FL St. Lucie Medical Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.