Active NPI
Mark J. Pamer, D.O., L.L.C.
- Cardiac Rehabilitation Clinic/Center
- Port Saint Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiac Rehabilitation Clinic/Center
- 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, 2025
- Organization subpart
- Yes
- Parent organization
- MARK J. PAMER, D.O., L.L.C.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
- Pulmonary Disease Physician
- Port Saint Lucie, FL
- NPI 1679716690
2062558612
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.
-
- Pulmonary Disease Physician
- Port Saint Lucie, FL
- NPI 1679716690
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.
-
- Pulmonary Disease Physician
- Port Saint Lucie, FL
- NPI 1184824542
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.