Active NPI
Physicians Immediate Care East, LLC
- Urgent Care Clinic/Center
- Port St Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- HCC1152
- Legal business name
- PHYSICIANS IMMEDIATE CARE EAST, LLC
- Practice address
- 1900 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5554 - Phone
- (772) 398-1588
- Fax
- (772) 398-1550
- NPI assigned
- Apr 13, 2015
- Last updated
- Apr 13, 2015
- Organization subpart
- Yes
- Parent organization
- PHYSICIANS IMMEDIATE CARE, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth Palestrant, M.D.
- Title
- Ceo
- Phone
- (772) 343-1776
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | HCC1152 | FL | Primary |
Addresses
Primary practice location
1900 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5554
Mailing address
1900 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5554
Phone (772) 398-1588
National Provider Directory
National Provider Directory- Tax ID family
- Physicians Immediate Ca
- Part of
- Physicians Immediate Ca
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-Pharmacy Dispensing Site
- Port St Lucie, FL
- NPI 1952572430
-
- Urgent Care Clinic/Center
- Port St Lucie, FL
- NPI 1063808301
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.
-
- Adult Medicine Physician
- Port St Lucie, FL
- NPI 1932218518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1428883200000",
"number": "1831585108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 SE PORT ST LUCIE BLVD",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349525554",
"telephone_number": "772-398-1588",
"fax_number": "772-398-1550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 SE PORT ST LUCIE BLVD",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349525554",
"telephone_number": "772-398-1588",
"fax_number": "772-398-1550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIANS IMMEDIATE CARE EAST, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PHYSICIANS IMMEDIATE CARE, INC",
"enumeration_date": "2015-04-13",
"last_updated": "2015-04-13",
"status": "A",
"authorized_official_last_name": "PALESTRANT",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "772-343-1776",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "FL",
"license": "HCC1152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Apr 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.