St. Lucie Medical Center

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

UO2524 Issued in FL

Legal business name

ST. LUCIE MEDICAL CENTER

Practice address

1800 SE Tiffany Ave
Port St Lucie, FL 34952-7521

Phone

(772) 398-1990

NPI assigned

Dec 12, 2011

Last updated

Dec 12, 2011By 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

Thomas Matese, D.O.

Title

Director Medical Education

Phone

(772) 398-1990

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1164790655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 OCEAN COVE DR",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334775983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SE TIFFANY AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527521",
            "telephone_number": "772-398-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUCIE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-12",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "MATESE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DIRECTOR MEDICAL EDUCATION",
        "authorized_official_telephone_number": "772-398-1990",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "FL",
            "license": "UO2524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Maria St. Fort, RN
• St. Lucie Anesthesia Associates, LLC
• St. Lucie Eye Associates, M.D. P.a.
• St. Lucie Eye Associates, M.D., P.a.
• St. Lucie General Services Inc
• St. Lucie Wellness Center, Corp.
• Amy Cherye St. Peter, ANP-BC
• Kortni Stafford
• Rhianna Maria Stalnaker, RMHCI
• Starline Group Home

• General Acute Care Hospital in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• General Acute Care Hospital in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.