Active NPI
Treasure Coast Medical Associates
Doing business as Stuart Urgent Care and Family Practice
- Non-Pharmacy Dispensing Site
- Jensen Beach, FL
National Provider Identifier
1740689280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- License
- ME68270
- Legal business name
- TREASURE COAST MEDICAL ASSOCIATES
- Doing business as
- Stuart Urgent Care and Family Practice
- Practice address
- 3405 NW Federal Hwy
Jensen Beach, FL 34957-4439 - Phone
- (772) 692-8082
- NPI assigned
- Aug 21, 2014
- Last updated
- Aug 21, 2014
- Organization subpart
- Yes
- Parent organization
- MEDVANTX, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenny Heine
- Title
- VP of Operations
- Phone
- (858) 964-1506
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | ME68270 | FL | Primary |
Addresses
Primary practice location
3405 NW Federal Hwy
Jensen Beach, FL 34957-4439
Mailing address
5626 Oberlin Dr
Suite 110
San Diego, CA 92121-1705
Other names 1
- Stuart Urgent Care and Family Practice
National Provider Directory
National Provider Directory- Tax ID family
- Treasure Coast Medical Associates
- Part of
- Medvantx Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Highlands Urgent Care
- Emergency Medicine Physician
- Sebring, FL
- NPI 1831653997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408579200000",
"number": "1740689280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5626 OBERLIN DR",
"address_2": "SUITE 110",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921211705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3405 NW FEDERAL HWY",
"city": "JENSEN BEACH",
"state": "FL",
"postal_code": "349574439",
"telephone_number": "772-692-8082"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TREASURE COAST MEDICAL ASSOCIATES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MEDVANTX, INC.",
"enumeration_date": "2014-08-21",
"last_updated": "2014-08-21",
"status": "A",
"authorized_official_last_name": "HEINE",
"authorized_official_first_name": "KENNY",
"authorized_official_title_or_position": "VP OF OPERATIONS",
"authorized_official_telephone_number": "858-964-1506"
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": "FL",
"license": "ME68270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Stuart Urgent Care and Family Practice",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Jensen Beach, FL
- Tanya Michelle Torello
- Katherine Torres, PA
- Nanci Torres, MSW
- Transition Medicine LLC (Posh Providers)
- Treasure Coast Audiology Inc
- Treasure Coast Medical Associates (Stuart Urgent Care)
- Treasure Coast OB GYN Associates P a (Womens Health Specialists)
- Treasure Coast Sleep Disorders LLC
- Treasure Coast Specialty Pharmacy Inc (Treasure Coast Pharmacy)
- Tribe Intensive LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.