PHYSICIANS IMMEDIATE CARE SOUTHWEST, LLC
NPI 1063808301
Clinic/Center - Urgent Care in Port St Lucie, FL

Active since April 14, 2015
4007 SW PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34953(772) 343-1774(772) 343-1744 Get Directions Write a Review

NPPES record last updated: April 14, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Physicians Immediate Care Southwest, Llc NPPES

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

PHYSICIANS IMMEDIATE CARE SOUTHWEST, LLC (NPI 1063808301) is a healthcare organization registered as an urgent care in Port St Lucie, Florida and active in the NPI registry since April 2015. The organization lists Kenneth Palestrant, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063808301
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NamePHYSICIANS IMMEDIATE CARE SOUTHWEST, LLC
Location Address4007 SW PORT ST LUCIE BLVDPort St Lucie, FL 34953-5679
Mailing Address4007 Sw Port St Lucie BlvdPort St Lucie, FL 34953-5679 · (772) 343-1774 · Fax (772) 343-1744
Fax(772) 343-1744
Organization SubpartYesParent: Physicians Immediate Care, Inc
Authorized OfficialKenneth PalestrantCeo · (772) 343-1776
Enumeration DateApril 14, 2015
NPI 1063808301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
License Licensed in FL · HCC5630
4007 SW PORT ST LUCIE BLVD, Port St Lucie, FL 34953

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner
4007 SW PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL 34953
Nurse Practitioner (Family)
4007 SW PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34953
Non-Pharmacy Dispensing Site
4007 SW PORT ST LUCIE BLVD, SUITE #12
PORT ST LUCIE, FL 34953
Nurse Practitioner
4007 SW PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL 34953

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 Physicians Immediate Care Southwest, LLC's NPI number?

The NPI number for Physicians Immediate Care Southwest, LLC is 1063808301. It was assigned to this organization in the NPPES registry on April 14, 2015.

Where is Physicians Immediate Care Southwest, LLC located?

Physicians Immediate Care Southwest, LLC is located at 4007 SW Port St Lucie Blvd, Port St Lucie, FL 34953. The listed phone number is (772) 343-1774.

What is Physicians Immediate Care Southwest, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

When was this NPI record last updated?

The NPPES record for Physicians Immediate Care Southwest, LLC was last updated on April 14, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.