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DOCKYARD EMERGENCY PHYSICIANS, LLC
NPI 1154694636
Emergency Medicine in Port St Lucie, FL

Active since February 15, 2012
1800 SE TIFFANY AVE, PORT ST LUCIE, FL 34952(772) 335-4000 Get Directions Write a Review

NPPES record last updated: December 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 22, 2020, Aug 21, 2019 (2 updates tracked since 2019).

About Dockyard Emergency Physicians, Llc NPPES

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

DOCKYARD EMERGENCY PHYSICIANS, LLC (NPI 1154694636) is a healthcare organization registered as an emergency medicine in Port St Lucie, Florida and active in the NPI registry since February 2012. The organization lists Kathleen Kondas, Officer, as its authorized official.

NPPES Registry Identity

NPI1154694636
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameDOCKYARD EMERGENCY PHYSICIANS, LLC
Location Address1800 SE TIFFANY AVEPort St Lucie, FL 34952-7521
Mailing AddressPo Box 37855Philadelphia, PA 19101-0155
Phone(772) 335-4000
Organization SubpartNo
Authorized OfficialKathleen KondasOfficer · (973) 251-1132
Enumeration DateFebruary 15, 2012
Last NPPES UpdateDecember 22, 20202 updates tracked since enumeration
NPPES CertifiedDecember 22, 2020
✔ NPI 1154694636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1800 SE TIFFANY AVE, Port St Lucie, FL 34952
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES 20

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

DR. STEVEN M LANGER M.D.
Anesthesiology
1800 SE TIFFANY AVE
PORT ST LUCIE, FL 34952
St. Lucie County (772) 335-2471
DR. MICHAEL GULENAY D.O.
Emergency Medicine
1800 SE TIFFANY AVE
PORT SAINT LUCIE, FL 34952
St. Lucie County (772) 398-1990
DR. KELLY MALOCH D.O.
Anesthesiology
1800 SE TIFFANY AVE
PORT SAINT LUCIE, FL 34952
St. Lucie County (772) 521-2453
DR. MARY CLAIRE MCMILLAN DO
Family Medicine
1800 SE TIFFANY AVE
PORT ST LUCIE, FL 34952
St. Lucie County (772) 398-3623
ANTONIO B MENCHAVEZ CRNA
Nurse Anesthetist, Certified Registered
1800 SE TIFFANY AVE
PORT ST LUCIE, FL 34952
St. Lucie County (772) 335-2471
HCA HEALTH SERVICES OF FLORIDA, INC.
Psychiatric Unit
1800 SE TIFFANY AVE
PORT ST LUCIE, FL 34952
St. Lucie County (772) 335-4000
ICS RADIOLOGY, INC.
Radiology (Diagnostic Radiology)
1800 SE TIFFANY AVE
PORT ST LUCIE, FL 34952
St. Lucie County (772) 335-4000
DR. ADAN FERNANDO HERNANDEZ MD
Family Medicine
1800 SE TIFFANY AVE
PORT ST LUCIE, FL 34952
St. Lucie County (772) 237-0813

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 Dockyard Emergency Physicians, LLC's NPI number?

The NPI number for Dockyard Emergency Physicians, LLC is 1154694636. It was assigned to this organization in the NPPES registry on February 15, 2012.

Where is Dockyard Emergency Physicians, LLC located?

Dockyard Emergency Physicians, LLC is located at 1800 SE Tiffany Ave, Port St Lucie, FL 34952. The listed phone number is (772) 335-4000.

What is Dockyard Emergency Physicians, LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

What insurance does Dockyard Emergency Physicians, LLC accept?

Health plans from Molina Healthcare list Dockyard Emergency Physicians, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dockyard Emergency Physicians, LLC was last updated on December 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.