SEASIDE FAMILY WELLNESS, PLLC
NPI 1083570717
Clinic/Center - Primary Care in Port St Lucie, FL

Active since December 26, 2025CLIA 10D2340966 · Waiver
1657 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952(772) 678-0011 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 15, 2026, Dec 26, 2025 (2 updates tracked since 2025).

About Seaside Family Wellness, Pllc NPPES

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

SEASIDE FAMILY WELLNESS, PLLC (NPI 1083570717) is a healthcare organization registered as a primary care in Port St Lucie, Florida and active in the NPI registry since December 2025. The organization holds a CLIA Waiver certificate valid through March 24, 2028 and lists Amy M Weber, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1083570717
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSEASIDE FAMILY WELLNESS, PLLC
Location Address1657 SE PORT ST LUCIE BLVDPort St Lucie, FL 34952-5428
Mailing Address1657 Se Port St Lucie BlvdPort St Lucie, FL 34952-5428 · (772) 678-0011
Organization SubpartNo
Authorized OfficialAmy M WeberCo-owner · (772) 678-0011
Enumeration DateDecember 26, 2025
Last NPPES UpdateMay 15, 20262 updates tracked since enumeration
NPPES CertifiedMay 15, 2026
NPI 1083570717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1657 SE PORT ST LUCIE BLVD, Port St Lucie, FL 34952

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 10D2340966

Seaside Family Wellness PLLC · Port Saint Lucie, FL
Active · expires Mar 24, 2028
CLIA Number10D2340966
Laboratory TypeAutonomous Aprn Owned Cli
Certificate Effective DateMarch 25, 2026
Certificate Expiration DateMarch 24, 2028
Laboratory DirectorAm Weber
Laboratory Phone(772) 678-0011
Laboratory LocationSeaside Family Wellness PLLC1657 SE Port St Lucie Blvd, Port Saint Lucie, FL 34952
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Dentist (General Practice)
1657 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952
Nurse Practitioner (Family)
1657 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL 34952
Nurse Practitioner (Family)
1657 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952
Dentist (General Practice)
1657 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL 34952

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 Seaside Family Wellness, PLLC's NPI number?

The NPI number for Seaside Family Wellness, PLLC is 1083570717. It was assigned to this organization in the NPPES registry on December 26, 2025.

Where is Seaside Family Wellness, PLLC located?

Seaside Family Wellness, PLLC is located at 1657 SE Port St Lucie Blvd, Port St Lucie, FL 34952. The listed phone number is (772) 678-0011.

What is Seaside Family Wellness, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Seaside Family Wellness, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2340966) is associated with this NPI, valid through March 24, 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 Seaside Family Wellness, PLLC was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.