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ST. LUCIE MEDICAL CENTER
NPI 1164790655
General Acute Care Hospital in Port St Lucie, FL

Active since December 12, 2011CLIA 10D2005609 · Waiver
1800 SE TIFFANY AVE, PORT ST LUCIE, FL 34952(772) 398-1990 Get Directions Write a Review

NPPES record last updated: December 12, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St. Lucie Medical Center NPPES

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

ST. LUCIE MEDICAL CENTER (NPI 1164790655) is a healthcare organization registered as a general acute care hospital in Port St Lucie, Florida and active in the NPI registry since December 2011. The organization holds a CLIA Waiver certificate valid through March 30, 2028 and lists Thomas Matese, Director Medical Education, as its authorized official.

NPPES Registry Identity

NPI1164790655
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameST. LUCIE MEDICAL CENTER
Location Address1800 SE TIFFANY AVEPort St Lucie, FL 34952-7521
Mailing Address139 Ocean Cove DrJupiter, FL 33477-5983
Phone(772) 398-1990
Organization SubpartNo
Authorized OfficialThomas MateseDirector Medical Education · (772) 398-1990
Enumeration DateDecember 12, 2011
✔ NPI 1164790655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in FL · UO2524
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
1800 SE TIFFANY AVE, Port St Lucie, FL 34952
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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 10D2005609

St Lucie Medical Center Wound Care Center · Port Saint Lucie, FL
Active · expires Mar 30, 2028
CLIA Number10D2005609
Laboratory TypePractitioner Other
Certificate Effective DateMarch 31, 2026
Certificate Expiration DateMarch 30, 2028
Laboratory DirectorBerjan Collin
Laboratory Phone(772) 398-3609
Laboratory LocationSt Lucie Medical Center Wound Care Center1871 SW Tiffany Ave Ste 210, Port Saint Lucie, FL 34952
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 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 St. Lucie Medical Center's NPI number?

The NPI number for St. Lucie Medical Center is 1164790655. It was assigned to this organization in the NPPES registry on December 12, 2011.

Where is St. Lucie Medical Center located?

St. Lucie Medical Center is located at 1800 SE Tiffany Ave, Port St Lucie, FL 34952. The listed phone number is (772) 398-1990.

What is St. Lucie Medical Center's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Does St. Lucie Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2005609) is associated with this NPI, valid through March 30, 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 St. Lucie Medical Center was last updated on December 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.