Comprehensive Medical Care of the Treasure Coast, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME100234 Issued in FL

Legal business name

COMPREHENSIVE MEDICAL CARE OF THE TREASURE COAST, LLC

Practice address

6658 SE Woodmill Pond LN
Stuart, FL 34997-8710

Phone

(772) 678-9664

Fax

(772) 266-4601

NPI assigned

Feb 26, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Shirley Zelikovsky, MD

Title

Ceo/ Operating Physician

Phone

(772) 678-9664

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402444800000",
    "number": "1992045140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6658 SE WOODMILL POND LN",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349978710",
            "telephone_number": "772-678-9664",
            "fax_number": "772-266-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6658 SE WOODMILL POND LN",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349978710",
            "telephone_number": "772-678-9664",
            "fax_number": "772-266-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE MEDICAL CARE OF THE TREASURE COAST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-26",
        "last_updated": "2014-06-11",
        "status": "A",
        "authorized_official_last_name": "ZELIKOVSKY",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "CEO/ OPERATING PHYSICIAN",
        "authorized_official_telephone_number": "772-678-9664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME100234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Stuart, FL
• Providers in Stuart, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.