Treasure Coast Primary Care

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

TREASURE COAST PRIMARY CARE

Practice address

1801 SE Hillmoor Dr
Building a Suite 108
Port Saint Lucie, FL 34952-7553

Phone

(772) 800-7340

Fax

(772) 403-2379

NPI assigned

Nov 19, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Robert Gluckman, ESQ

Title

Cheif Operating Officer

Phone

(772) 800-7340

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Shirley Sharona Zelikovsky, MD

  • Family Medicine Physician
  • Casselberry, FL
  • NPI 1023234457
  NPD (past)

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1992179527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 SE HILLMOOR DR",
            "address_2": "BUILDING A SUITE 108",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527553",
            "telephone_number": "772-800-7340",
            "fax_number": "772-403-2379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SE HILLMOOR DR",
            "address_2": "BUILDING A SUITE 108",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527553",
            "telephone_number": "772-800-7340",
            "fax_number": "772-403-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "GLUCKMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHEIF OPERATING OFFICER",
        "authorized_official_telephone_number": "772-800-7340",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ESQ"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Transport With Care, LLC
• Traveling Light Counseling Inc
• Crystal Nicky Treadway, LMHC,NCC
• Fredrick C Treadwell, D.MIN.
• Treasure Coast Diagnostic Laboratory Incorporated
• Treasure Coast Urgent & Family Care
• Treasure Coast Wound Care LLC
• Treasures Home Health Care Inc.
• Meghan Trice
• Shardae Tripp, M.S., LMHC

• Primary Care Clinic/Center in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.