Active NPI
Infectious Diseases of the Treasure Coast PA
- Infectious Disease Physician
- Port St Lucie, FL
National Provider Identifier
1376879361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- ME 92636
- Legal business name
- INFECTIOUS DISEASES OF THE TREASURE COAST PA
- Practice address
- 501 NW Lake Whitney PL
Suite 102
Port St Lucie, FL 34986-1615 - Phone
- (772) 343-1570
- Fax
- (772) 343-1601
- NPI assigned
- Oct 26, 2009
- 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
- Dr. Dragana Orlovic, MD
- Title
- President
- Phone
- (772) 343-1570
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | ME 92636 | FL | Primary |
Addresses
Primary practice location
501 NW Lake Whitney PL
Suite 102
Port St Lucie, FL 34986-1615
Mailing address
501 NW Lake Whitney PL
Suite 102
Port St Lucie, FL 34986-1615
Phone (772) 343-1570
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 273205000 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
501 NW Lake Whitney Pl
Ste 102
Port St Lucie, FL 34986
Phone (772) 337-3914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1256515200000",
"number": "1376879361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 NW LAKE WHITNEY PL",
"address_2": "SUITE 102",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349861615",
"telephone_number": "772-343-1570",
"fax_number": "772-343-1601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 NW LAKE WHITNEY PL",
"address_2": "SUITE 102",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349861615",
"telephone_number": "772-343-1570",
"fax_number": "772-343-1601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INFECTIOUS DISEASES OF THE TREASURE COAST PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-26",
"last_updated": "2009-10-26",
"status": "A",
"authorized_official_last_name": "ORLOVIC",
"authorized_official_first_name": "DRAGANA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "772-343-1570",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "FL",
"license": "ME 92636",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "273205000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
- Diana Lopez Ilarraza
- Imagine Homemaker and Companions Service, LLC
- Imaging Center of West Palm Beach LLC
- Independent Living With Care, Inc. Alf
- Indian River Pathology LLC
- Infinity Healthcare Port Saint Lucie LLC
- Infinity Home Care of District 9
- Evelina Ingersoll, ARNP
- Keith E Ingram, M.D.
- Diana P Iniguez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.