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

Last updated

May 14, 2009By the provider in NPPES

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, MDNPI 1619946597

Title

Pres/Owner

Phone

(772) 419-2560

Specialties & licenses 1

Addresses

Other names 1

• corporation Other name

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.

• Michele F Libman, M.D.

  • Internal Medicine Physician
  • Stuart, FL
  • NPI 1619946597
  Authorized official Same address or phone

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.