Florida Medical Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME86679 Issued in FL

Legal business name

FLORIDA MEDICAL CENTER

Practice address

10616 S Federal Hwy
Port St Lucie, FL 34952-6401

Phone

(772) 224-2467

NPI assigned

Mar 22, 2010

Last updated

Mar 22, 2010By 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

Dr. Manuel De Jesus Gainza, MD

Title

Medical Director

Phone

(772) 224-2467

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BEEABA

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1235453168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10616 S FEDERAL HWY",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349526401",
            "telephone_number": "772-224-2467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10616 S FEDERAL HWY",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349526401",
            "telephone_number": "772-224-2467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-22",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "GAINZA",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "DE JESUS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "772-224-2467",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME86679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida Department of Veterans Affairs (Ardie R. Copas State Veterans Nursing Home)
• Florida Em-I Medical Services PA
• Florida Family Dental LLC
• Florida Health Plus System Inc
• Florida Lab Source
• Florida Orthopedics and Neurosurgery LLC
• Florida Pain & Rehabilitation Institute Inc (National Pain Institute)
• Florida Psychiatry Associates LLC
• Florida Spine and Disc Center, Inc.
• Florida United Radiology LC

• Family Medicine Physician in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.