Organization Active NPI

Infectious Diseases of the Treasure Coast PA

  • Infectious Disease Physician
  • Port St Lucie, FL
National Provider Identifier
1376879361
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME 92636 Issued in FL
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

Updated by the provider on Oct 26, 2009

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)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
273205000MedicaidFL

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.