MD-Prac LLC

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

MD-PRAC LLC

Practice address

1860 SW Fountainview Blvd Ste 100
Port St Lucie, FL 34986-4528

Phone

(833) 245-5633

Fax

(833) 962-6213

NPI assigned

Mar 15, 2022

Organization subpart

No

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

Authorized official

Name

Naomi Manning

Title

Consultant

Phone

(833) 245-5633

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohammed Shweikeh, M.D.

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1932548880
  NPD

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1972251270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4662 SW BRADBURY ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349535563",
            "telephone_number": "833-245-5633",
            "fax_number": "933-962-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 SW FOUNTAINVIEW BLVD STE 100",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349864528",
            "telephone_number": "833-245-5633",
            "fax_number": "833-962-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD-PRAC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2021-09-18",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "833-245-5633"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shavone S McLean
• Mary Claire McMillan, DO
• Jennifer Martina McMillian
• Erin Kathleen McNamara, PMHNP
• Bonnie Amber McPherson
• Med Braces and Supplies, LLC
• Medco Research Institute, L.L.C.
• Medi-Fast Urgent Care, LLC
• Medic Warriors
• Medical Consultants of Florida LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.