Treasure Coast Primary Care, PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME0081297 Issued in FL

Legal business name

TREASURE COAST PRIMARY CARE, PA

Practice address

1050 SE Monterey Rd
Stuart, FL 34994

Phone

(772) 419-0560

Fax

(772) 403-2379

NPI assigned

May 14, 2009

Organization subpart

No

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

Authorized official

Name

Michele F Libman, MD

Title

Pres/Owner

Phone

(772) 419-2560

Specialties & licenses 1

Addresses

Other names 1

• corporation Other name

Locations

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242259200000",
    "number": "1407080773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 SE MONTEREY ROAD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34994",
            "telephone_number": "772-419-0560",
            "fax_number": "772-403-2379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 SE MONTEREY RD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34994",
            "telephone_number": "772-419-0560",
            "fax_number": "772-403-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST PRIMARY CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-14",
        "last_updated": "2009-05-14",
        "status": "A",
        "authorized_official_last_name": "LIBMAN",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRES/OWNER",
        "authorized_official_telephone_number": "772-419-2560",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME0081297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Treasure Coast Pathology, PA
• Treasure Coast Pediatric Associates,P.a.
• Treasure Coast Pediatric Therapy Services, LLC
• Treasure Coast Periodontics, PA
• Treasure Coast Physical Medicine, LLC
• Treasure Coast Psychiatric Services, P.a.
• Treasure Coast Psychiatry, LLC
• Treasure Coast Psychology, Inc.
• Treasure Coast Radiation Oncology PA
• Treasure Coast Recovery, LLC

• Primary Care Clinic/Center in Stuart, FL
• Providers in Stuart, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.