NPIMap

Organization Active NPI

Mrdical Clinics PA

Doing business as The Wellness Center at Harbor Place

  • Primary Care Clinic/Center
  • Port St Lucie, FL
National Provider Identifier
1750718896
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
19488 Issued in FL
Legal business name
MRDICAL CLINICS PA
Doing business as
The Wellness Center at Harbor Place
Practice address
3700 SE Jennings Rd
Apt. 125
Port St Lucie, FL 34952-7701
Phone
(772) 337-5222
Fax
(772) 337-5333
NPI assigned
Oct 3, 2013
Last updated
Oct 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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

Authorized official

Name
Dr. Stephen Louis Nemerofsky, M.D.NPI 1245264001
Title
President
Phone
(561) 586-3400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 19488 FL Primary

Addresses

Primary practice location

3700 SE Jennings Rd
Apt. 125
Port St Lucie, FL 34952-7701

Mailing address

1111 Hypoluxo Rd
Suite 107
Lantana, FL 33462-4271
Phone (561) 586-3400

Other names 1

  • The Wellness Center at Harbor Place Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medical Clinics PA4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

3700 SE Jennings Rd
Apt 125
Port St Lucie, FL 34952
Phone (772) 337-5222

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": "1380758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1750718896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 HYPOLUXO RD",
            "address_2": "SUITE 107",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334624271",
            "telephone_number": "561-586-3400",
            "fax_number": "561-585-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 SE JENNINGS RD",
            "address_2": "APT. 125",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527701",
            "telephone_number": "772-337-5222",
            "fax_number": "772-337-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRDICAL CLINICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "NEMEROFSKY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-586-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "19488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Wellness Center at Harbor Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.