Individual provider Active NPI

Lawrence Anthony Perin, M.D.

  • Family Medicine Physician
  • Port St Lucie, FL
National Provider Identifier
1881731404
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0058850 Issued in FL
Practice address
10198 SW Village Pkwy BLDG 2
Port St Lucie, FL 34987-2594
Phone
(772) 934-4990
Fax
(772) 934-4991
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0058850 FL Primary
Family Medicine Physician 207Q00000X MD035068L PA

Addresses

Primary practice location

10198 SW Village Pkwy BLDG 2
Port St Lucie, FL 34987-2594

Mailing address

2336 SE Ocean Blvd # 232
Stuart, FL 34996-3310
Phone (215) 519-1832

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230623003174 FL Practitioner - Family Practice 8325943343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tradition Health and Wellness Clinic PLLCGroup PAC ID 8224477013, 7 clinicians

Practice addresses (Care Compare)

10198 SW Village Pkwy
Suite 105
Port St Lucie, FL 34987-2592
Phone (772) 934-4990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0058850FLMDFamily Medicine Physician
MD035068LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tradition Health and Wellness Clinic PLLC Family Medicine CurrentSince Dec 19, 2025 Accepting new patients

Locations

10198 SW Village Pkwy
Ste 105
Port St Lucie, FL 34987
Phone (772) 934-4990

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1881731404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2336 SE OCEAN BLVD # 232",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963310",
            "telephone_number": "215-519-1832",
            "fax_number": "848-213-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10198 SW VILLAGE PKWY BLDG 2",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349872594",
            "telephone_number": "772-934-4990",
            "fax_number": "772-934-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERIN",
        "first_name": "LAWRENCE",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0058850",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD035068L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.