Organization Active NPI

Mark J. Pamer, D.O., L.L.C.

  • Cardiac Rehabilitation Clinic/Center
  • Port Saint Lucie, FL
National Provider Identifier
1275214363
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiac Rehabilitation Clinic/CenterTaxonomy code 261QR0404X
Legal business name
MARK J. PAMER, D.O., L.L.C.
Practice address
537 NW Lake Whitney PL Ste 103
Port Saint Lucie, FL 34986-1620
Phone
(772) 785-5864
Fax
(772) 344-2555
NPI assigned
Jul 31, 2023
Last updated
Oct 17, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
MARK J. PAMER, D.O., L.L.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Authorized official

Name
Sarah Pamer
Title
Practice Manager
Phone
(772) 785-5864

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiac Rehabilitation Clinic/Center 261QR0404X NU Primary

Addresses

Primary practice location

537 NW Lake Whitney PL Ste 103
Port Saint Lucie, FL 34986-1620

Mailing address

537 NW Lake Whitney PL Ste 103
Port Saint Lucie, FL 34986-1620
Phone (772) 785-5864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230923000746 FL Part B Supplier - Intensive Cardiac Rehabilitation 2062558612 Receives reassigned benefits from 1 practitioner
Practice locations: Port St Lucie, FL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Mark J Pamer DO LLC

Locations

160 NW Central Park Plz
Ste 102
Port St Lucie, FL 34986
Phone (772) 785-5864

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1275214363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 NW LAKE WHITNEY PL STE 103",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349861620",
            "telephone_number": "772-785-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 NW LAKE WHITNEY PL STE 103",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349861620",
            "telephone_number": "772-785-5864",
            "fax_number": "772-344-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK J. PAMER, D.O., L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARK J. PAMER, D.O., L.L.C.",
        "enumeration_date": "2023-07-31",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "PAMER",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "772-785-5864"
    },
    "taxonomies": [
        {
            "code": "261QR0404X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Cardiac Facilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; 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.