Treasure Coast Cosmetic Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

741 Issued in FL

Legal business name

TREASURE COAST COSMETIC SURGERY CENTER

Practice address

1901 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5582

Phone

(772) 335-7477

Fax

(772) 335-8379

NPI assigned

Jul 15, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Donato Anthony Viggiano, M.D.NPI 1194713370

Title

Medical Director

Phone

(772) 335-7477

Specialties & licenses 1

Addresses

Practitioners 3

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.

• Donato Anthony Viggiano, M.D.

  • Specialist
  • Port St Lucie, FL
  • NPI 1194713370
  NPD (past) Authorized official
• Michele Rossi Champigny, DO

  • Plastic Surgery Physician
  • Stuart, FL
  • NPI 1124478250
  NPD (past)
• Daniel T Holley, MD

  • Plastic Surgery Physician
  • Stuart, FL
  • NPI 1023102886
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952327538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 SE PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525582",
            "telephone_number": "772-335-7477",
            "fax_number": "772-335-8379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 SE PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525582",
            "telephone_number": "772-335-7477",
            "fax_number": "772-335-8379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST COSMETIC SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VIGGIANO",
        "authorized_official_first_name": "DONATO",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "772-335-7477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sistiva Maureen Travis
• Kevin Micheal Traynor, MD
• Treasure Coast Alf Inc.
• Treasure Coast Anesthesiology, P.a.
• Treasure Coast Cancer Care Center Inc
• Treasure Coast Counseling Center Inc
• Treasure Coast Diagnostics LLC
• Treasure Coast Gi LLC
• Treasure Coast Health (Healthy Results)
• Treasure Coast Healthcare Associates,LLC

• Ambulatory Surgical Clinic/Center in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.