WELLMED MEDICAL MANAGEMENT OF FLORIDA INC
NPI 1033395397
Family Medicine in Port St Lucie, FL

Active since January 17, 2008CLIA 10D1081211 · Waiver
549 NW LAKE WHITNEY PLACE, BLDG I, SUITE 101, PORT ST LUCIE, FL 34986(210) 617-4706 Get Directions Write a Review

NPPES record last updated: June 16, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wellmed Medical Management Of Florida Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WELLMED MEDICAL MANAGEMENT OF FLORIDA INC (NPI 1033395397) is a healthcare organization registered as a family medicine in Port St Lucie, Florida and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through March 11, 2028 and lists Joseph Zimmerman, Secretary, as its authorized official.

NPPES Registry Identity

NPI1033395397
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWELLMED MEDICAL MANAGEMENT OF FLORIDA INC
Location Address549 NW LAKE WHITNEY PLACE, BLDG I, SUITE 101Port St Lucie, FL 34986
Mailing Address19500 Ih-10w, Ms1-5030, Attn: Licensing & RegulatorySan Antonio, TX 78257 · (210) 617-4706
Organization SubpartYesParent: Wellmed Medical Management Inc
Authorized OfficialJoseph ZimmermanSecretary · (210) 617-4706
Enumeration DateJanuary 17, 2008
Last NPPES UpdateJune 16, 2023
NPPES CertifiedJune 16, 2023
NPI 1033395397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
549 NW LAKE WHITNEY PLACE, Port St Lucie, FL 34986

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1081211

Wellmed Medical Management Of Florida, LLC · Port Saint Lucie, FL
Active · expires Mar 11, 2028
CLIA Number10D1081211
Laboratory TypePhysician Office
Certificate Effective DateMarch 12, 2026
Certificate Expiration DateMarch 11, 2028
Laboratory DirectorBambi Petrinic
Laboratory Phone(407) 258-3186
Laboratory LocationWellmed Medical Management Of Florida, LLC513 NW Lake Whitney Pl Ste 101, Port Saint Lucie, FL 34986
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
549 NW LAKE WHITNEY PLACE, 106
PORT ST. LUCIE, FL 34986

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wellmed Medical Management Of Florida Inc's NPI number?

The NPI number for Wellmed Medical Management Of Florida Inc is 1033395397. It was assigned to this organization in the NPPES registry on January 17, 2008.

Where is Wellmed Medical Management Of Florida Inc located?

Wellmed Medical Management Of Florida Inc is located at 549 NW Lake Whitney Place Bldg I, Suite 101, Port St Lucie, FL 34986. The listed phone number is (210) 617-4706.

What is Wellmed Medical Management Of Florida Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Wellmed Medical Management Of Florida Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1081211) is associated with this NPI, valid through March 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wellmed Medical Management Of Florida Inc was last updated on June 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.