The Spa at St Lucie West

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

THE SPA AT ST LUCIE WEST

Practice address

312 NW Bethany Dr
Port St Lucie, FL 34986-3578

Phone

(772) 343-8772

NPI assigned

Sep 9, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Pamela Sue Le Pere

Title

Owner

Phone

(772) 343-8772

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378684800000",
    "number": "1912332925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 NW BETHANY DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349863578",
            "telephone_number": "772-343-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 NW BETHANY DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349863578",
            "telephone_number": "772-343-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPA AT ST LUCIE WEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-09",
        "last_updated": "2013-09-09",
        "status": "A",
        "authorized_official_last_name": "LE PERE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-343-8772",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.