Union Medical Center LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

UNION MEDICAL CENTER LLC

Practice address

1818 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5545

Phone

(754) 610-8093

NPI assigned

Apr 26, 2022

Last updated

Apr 26, 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

Mirlande Sejourne

Title

Manager Member

Phone

(754) 610-8093

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 4

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.

• Paulard Bernard

  • Family Nurse Practitioner
  • Okeechobee, FL
  • NPI 1578104816
  Medicare reassignment NPD
• Emilio Edgardo Castaneda, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Pembroke Pines, FL
  • NPI 1194858746
  Medicare reassignment NPD
• Edward W Pearson, M.D. , ABIHM

  • General Practice Physician
  • N Palm Beach, FL
  • NPI 1306913876
  Medicare reassignment NPD
• Jeanine C Marshall

  • Family Nurse Practitioner
  • Port St Lucie, FL
  • NPI 1386205623
  NPD (past)

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1205570157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 SE PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 SE PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525545",
            "telephone_number": "754-610-8093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "SEJOURNE",
        "authorized_official_first_name": "MIRLANDE",
        "authorized_official_title_or_position": "MANAGER MEMBER",
        "authorized_official_telephone_number": "754-610-8093"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Tyszkiewicz
• Maggie Tzivanis
• Daphnee Ulysse
• Renaldia Ulysse
• Alec Colby Underhill, DO
• Unique Loving Home Care
• Uniquely 4 Hearts, LLC
• Unity Recovery Center, Inc
• Unity Recovery Center, Inc
• Universal Home Care, Inc

• General Practice Physician in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.