St Lucie - Port St Lucie

LBN: Premise Health Of Florida Medical, P.A.
St Lucie - Port St Lucie is an health care organization with primary practice located at 1680 Se Lyngate Dr Ste 101 , Port St Lucie FL 34952-4300. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Premise Health Of Florida Medical, P.A. can be contacted via phone (352) 483-9199, or through Leizman, Jon via phone (216) 479-9063.

Contact Information

Primary practice address
1680 Se Lyngate Dr Ste 101 Port St Lucie FL 34952-4300
Phone: (352) 483-9199
Fax: (352) 240-3907
Website:
Map and Directions
Authorized official contact:
Name: Leizman, Jon
Phone: (216) 479-9063

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1518631654
LBN Legal business name Premise Health Of Florida Medical, P.A.
DBA Doing business as St Lucie - Port St Lucie
Authorized official Leizman, Jon
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2021
Last updated Aug 15th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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