Active NPI
Treasure Coast Senior Care LLC
- Internal Medicine Physician
- Fort Pierce, FL
National Provider Identifier
1750258307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- TREASURE COAST SENIOR CARE LLC
- Practice address
- 2000 Nebraksa Ave
Fort Pierce, FL 34950 - Phone
- (772) 465-4444
- NPI assigned
- Oct 20, 2025
- Last updated
- Oct 20, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ian C Boykin
- Title
- Authorized Member
- Phone
- (772) 528-2647
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
2000 Nebraksa Ave
Fort Pierce, FL 34950
Mailing address
2000 Nebraska Ave
Fort Pierce, FL 34950-4833
Phone (772) 465-4444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 14
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.
-
- Internal Medicine Physician
- Fort Pierce, FL
- NPI 1891772596
-
- Family Nurse Practitioner
- Stuart, FL
- NPI 1770269946
-
- Family Nurse Practitioner
- Jensen Beach, FL
- NPI 1598549271
-
- Family Nurse Practitioner
- Vero Beach, FL
- NPI 1558743674
-
- Nurse Practitioner
- Port St Lucie, FL
- NPI 1437730819
-
- Family Nurse Practitioner
- Fort Pierce, FL
- NPI 1942664446
-
- Nurse Practitioner
- Fort Pierce, FL
- NPI 1467443762
-
- Family Nurse Practitioner
- Fort Pierce, FL
- NPI 1770590333
-
- Family Nurse Practitioner
- Fort Pierce, FL
- NPI 1952093981
-
- Nurse Practitioner
- Fort Pierce, FL
- NPI 1396267373
-
- Family Nurse Practitioner
- Fort Pierce, FL
- NPI 1902372253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760918400000",
"number": "1750258307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 NEBRASKA AVE",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349504833",
"telephone_number": "772-465-4444",
"fax_number": "772-466-4499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 NEBRAKSA AVE",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "34950",
"telephone_number": "772-465-4444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TREASURE COAST SENIOR CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-20",
"last_updated": "2025-10-20",
"certification_date": "2025-10-01",
"status": "A",
"authorized_official_last_name": "BOYKIN",
"authorized_official_first_name": "IAN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "AUTHORIZED MEMBER",
"authorized_official_telephone_number": "772-528-2647"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Pierce, FL
- Treasure Coast Nephrology LLC
- Treasure Coast Neurology, Inc
- Treasure Coast Neuroscience and Wellness Center LLC
- Treasure Coast Non-Surgical Orthopedics PLLC
- Treasure Coast Prosthetics & Orthotics Services, Inc.
- Treasure Coast Surgical Center Inc
- Treasure Coast Transportation Services Inc.
- Daley Trejo
- Tara N Tremblay
- Kristin Ann Trenham, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.