NPIMap

Organization Active NPI

Treasure Coast Senior Care LLC

  • Internal Medicine Physician
  • Fort Pierce, FL
National Provider Identifier
1750258307
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Authorized official

Name
Ian C BoykinNPI 1891772596
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20251211003517 FL Part B Supplier - Clinic/Group Practice 4688168115 Receives reassigned benefits from 2 practitioners
Practice locations: Fort Pierce, FL

National Provider Directory

National Provider Directory

Locations

2000 Nebraska Ave
Fort Pierce, FL 34950
Phone (772) 464-3657

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

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

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.

Verify at the official NPI Registry.