Active NPI
Av Medical Center Inc.
- Pulmonary Disease Physician
- Fort Pierce, FL
National Provider Identifier
1245075936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- AV MEDICAL CENTER INC.
- Practice address
- 1301 N Lawnwood Cir
Fort Pierce, FL 34950-4825 - Phone
- (772) 577-6232
- Fax
- (305) 402-0941
- NPI assigned
- Jun 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pamela Westberg
- Title
- President
- Phone
- (728) 900-8821
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Pulmonary Disease Physician | 207RP1001X | Primary | ||
| Pediatrics Physician | 208000000X |
Addresses
Primary practice location
1301 N Lawnwood Cir
Fort Pierce, FL 34950-4825
Mailing address
660 Glades Rd Ste 460
Boca Raton, FL 33431-6469
Phone (772) 577-6232
Other practice location 1
660 Glades Rd Ste 460
Boca Raton, FL 33431-6469
Phone (772) 577-6232
Other practice location 2
3357 SW Frankford St
Port Saint Lucie, FL 34953-4938
Phone (772) 577-6232
Other names 1
- MARQUIS MD FLORIDA
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2315744 | Av Medical Center | Certificate of waiver | Dec 17, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Fort Pierce, FL
- NPI 1164492005
-
- Women's Health Nurse Practitioner
- Port Saint Lucie, FL
- NPI 1144476920
-
- Physical Therapist
- Fort Pierce, FL
- NPI 1548907827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784246400000",
"number": "1245075936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 GLADES RD STE 460",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334316469",
"telephone_number": "772-577-6232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 N LAWNWOOD CIR",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349504825",
"telephone_number": "772-577-6232",
"fax_number": "305-402-0941"
}
],
"practiceLocations": [
{
"address_1": "660 Glades Rd Ste 460",
"address_purpose": "LOCATION",
"city": "Boca Raton",
"state": "FL",
"postal_code": "334316469",
"country_code": "US",
"telephone_number": "772-577-6232",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3357 SW Frankford St",
"address_purpose": "LOCATION",
"city": "Port Saint Lucie",
"state": "FL",
"postal_code": "349534938",
"country_code": "US",
"telephone_number": "772-577-6232",
"fax_number": "305-402-0941",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "AV MEDICAL CENTER INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-26",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A",
"authorized_official_last_name": "WESTBERG",
"authorized_official_first_name": "PAMELA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "728-900-8821"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MARQUIS MD FLORIDA",
"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 Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.