Muscle Injection Therapies of the Treasure Coast LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

AP1293 Issued in FL

Legal business name

MUSCLE INJECTION THERAPIES OF THE TREASURE COAST LLC

Practice address

201 NW Saint James Dr
Port St Lucie, FL 34983-1291

Phone

(772) 882-1632

NPI assigned

Oct 18, 2016

Organization subpart

No

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

Authorized official

Name

Barbara M Koehne

Title

Manager

Phone

(772) 882-1632

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1205387891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 NW SAINT JAMES DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349831291",
            "telephone_number": "772-882-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NW SAINT JAMES DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349831291",
            "telephone_number": "772-882-1632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSCLE INJECTION THERAPIES OF THE TREASURE COAST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "KOEHNE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "772-882-1632"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "AP1293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Murray, MD
• Tara Michelle Murray, DC
• Murrin Dental Management LLC
• Randi Nichole Muscarella, MS
• Sean Muscarella
• Muscle Injection Therapy LLC
• Justin Andrew Muskovich, M.D.
• Joseph Boyd Mutter, H.A.S.
• Mutter'S Precision Hearing Center, Inc
• My Dentist of Port St. Lucie

• Specialist in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.