Saint Lucie Pediatrics Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SAINT LUCIE PEDIATRICS INC.

Practice address

32 N Broadway St
Fellsmere, FL 32948-6601

Phone

(772) 571-1533

Fax

(772) 571-8081

NPI assigned

Jun 5, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Rodriguez

Title

Off MGR

Phone

(772) 571-1533

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Saint Lucie Pediatrics Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Saint Lucie Pediatrics Inc

  • Pediatrics Physician
  • Fort Pierce, FL
  • NPI 1396822862
  NPD tax ID
• Saint Lucie Pediatrics Inc

  • Pediatrics Physician
  • Fort Pierce, FL
  • NPI 1710032875
  NPD tax ID

Locations

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1740449511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 S 25TH ST",
            "address_2": "105",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474753",
            "telephone_number": "772-571-1533",
            "fax_number": "772-571-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 N BROADWAY ST",
            "city": "FELLSMERE",
            "state": "FL",
            "postal_code": "329486601",
            "telephone_number": "772-571-1533",
            "fax_number": "772-571-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT LUCIE PEDIATRICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFF MGR",
        "authorized_official_telephone_number": "772-571-1533",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2634562001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Pinsky, MD
• Humberto Posada, M.D.
• Sonia Redio Rondon, APRN
• Noelle Klawon Riesen
• Amber Rowe, D.D.S.
• Mariela Sanchez
• Leslie Sikaffy, LCSW
• Mia Starcevic, DMD
• Tonya Lynn Succio, APRN
• Lana Taylor, LCSW

• Pediatrics Physician in Fellsmere, FL
• Providers in Fellsmere, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.