Organization Active NPI

Francis X Conidi DO Ms PA

  • Medical Specialty Clinic/Center
  • Port Saint Lucie, FL
National Provider Identifier
1720275449
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
OS7863 Issued in FL
Legal business name
FRANCIS X CONIDI DO MS PA
Practice address
10377 S US Highway 1
Suite 104
Port Saint Lucie, FL 34952-5630
Phone
(772) 337-7272
Fax
(772) 337-7734
NPI assigned
Sep 26, 2007
Last updated
Feb 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Authorized official

Name
Dr. Francis X ConidiNPI 1669549374
Title
Ceo
Phone
(772) 337-7272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X OS7863 FL Primary

Addresses

Primary practice location

10377 S US Highway 1
Suite 104
Port Saint Lucie, FL 34952-5630

Mailing address

10377 S US Highway 1
Suite 104
Port Saint Lucie, FL 34952-5630
Phone (772) 337-7272

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071030000133 FL Part B Supplier - Clinic/Group Practice 8123115748 Receives reassigned benefits from 1 practitioner
Practice locations: Coral Springs, FL; Palm Beach Gardens, FL; Port St Lucie, FL

National Provider Directory

National Provider Directory

Locations

2861 E Commercial Blvd
Fort Lauderdale, FL 33308

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1720275449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10377 S US HIGHWAY 1",
            "address_2": "SUITE 104",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349525630",
            "telephone_number": "772-337-7272",
            "fax_number": "772-337-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10377 S US HIGHWAY 1",
            "address_2": "SUITE 104",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349525630",
            "telephone_number": "772-337-7272",
            "fax_number": "772-337-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCIS X CONIDI DO MS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "CONIDI",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "X",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-337-7272",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "OS7863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.