Physicians Group of the Treasure Coast LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PHYSICIANS GROUP OF THE TREASURE COAST LLC

Practice address

1131 SE Indian St
Stuart, FL 34997-5765

Phone

(772) 617-0124

Fax

(772) 223-5110

NPI assigned

Dec 7, 2017

Organization subpart

No

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

Authorized official

Name

Christina Tucker

Title

Owner

Phone

(772) 219-1355

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raquel Lyn Barker, LCSW

  • Clinical Social Worker
  • Stuart, FL
  • NPI 1689408742
  NPD
• Alexandria Renee Dooley, LCSW

  • Clinical Social Worker
  • Stuart, FL
  • NPI 1093205262
  NPD

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1336654763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 SE INDIAN ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349975765",
            "telephone_number": "772-617-0124",
            "fax_number": "772-223-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 SE INDIAN ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349975765",
            "telephone_number": "772-617-0124",
            "fax_number": "772-223-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS GROUP OF THE TREASURE COAST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-07",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-219-1355"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physicians Choice Medical Supplies LLC
• Physicians Imaging Center LLC
• Physicians Imaging Center LLC
• Physicians to Women PA
• Isabella V Pi
• Amanda Lynn Piasecki, RN, LM

• Multi-Specialty Clinic/Center in Stuart, FL
• Providers in Stuart, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.