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Organization Active NPI

Florida Department of Health

Doing business as Florida Health in St. Lucie County

  • Public Health or Welfare Agency
  • Fort Pierce, FL
National Provider Identifier
1649329236
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
FLORIDA DEPARTMENT OF HEALTH
Doing business as
Florida Health in St. Lucie County
Practice address
1701 S 23Rd St
Fort Pierce, FL 34950-4804
Phone
(772) 462-3800
Fax
(772) 462-3880
NPI assigned
Jan 10, 2007
Last updated
Apr 16, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
FLORIDA DEPARTMENT OF HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Mr. Clint J Sperber
Title
Administrator
Phone
(772) 462-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X FL Primary

Addresses

Primary practice location

1701 S 23Rd St
Fort Pierce, FL 34950-4804

Mailing address

5150 NW Milner Dr
Port St Lucie, FL 34983-3392
Phone (772) 462-3800

Other practice location 1

537 NW Lake Whitney Pl Ste 101
Port Saint Lucie, FL 34986-1620
Phone (772) 462-3800

Other identifiers 2

IdentifierTypeStateIssuer
80-0575181OtherFLFEDERAL TAX ID
027966800MedicaidFL

Other names 1

  • Florida Health in St. Lucie County Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050124000920 FL Part B Supplier - Clinic/Group Practice 3072424282 Receives reassigned benefits from 2 practitioners
Practice locations: Fort Pierce, FL; Port Saint Lucie, FL

National Provider Directory

National Provider Directory
Tax ID family
Agape Community Health185 organizations share this tax ID, including this one
Part of
Agape Community Health

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

5150 NW Milner Dr
Port St Lucie, FL 34983
Phone (772) 462-3800

537 NW Lake Whitney Pl
Ste 101
Port St Lucie, FL 34986
Phone (772) 204-8870

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Walton Community Health CenterDefuniak Springs, FL, CCN 101136 Federally qualified health center Operational/Managerial Control (100%) Sep 7, 2010
Bradford Community Health Care IncStarke, FL, CCN 101182 Federally qualified health center Operational/Managerial Control (100%) Oct 1, 2013

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1649329236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 NW MILNER DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349833392",
            "telephone_number": "772-462-3800",
            "fax_number": "772-871-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 S 23RD ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504804",
            "telephone_number": "772-462-3800",
            "fax_number": "772-462-3880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "537 NW Lake Whitney Pl Ste 101",
            "address_purpose": "LOCATION",
            "city": "Port Saint Lucie",
            "state": "FL",
            "postal_code": "349861620",
            "country_code": "US",
            "telephone_number": "772-462-3800",
            "fax_number": "772-462-3880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLORIDA DEPARTMENT OF HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA DEPARTMENT OF HEALTH",
        "enumeration_date": "2007-01-10",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "SPERBER",
        "authorized_official_first_name": "CLINT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "772-462-3800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "80-0575181",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027966800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Health in St. Lucie County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.