EAST COAST MEDICAL CENTER PA
NPI 1609104215
Internal Medicine in Port St Lucie, FL

Active since November 20, 2009CLIA 10D0955596 · Waiver
7664 S US HIGHWAY 1, PORT ST LUCIE, FL 34952(772) 879-0699(772) 879-6650 Get Directions Write a Review

NPPES record last updated: November 20, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About East Coast Medical Center Pa NPPES

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

EAST COAST MEDICAL CENTER PA (NPI 1609104215) is a healthcare organization registered as an internal medicine in Port St Lucie, Florida and active in the NPI registry since November 2009. The organization holds a CLIA Waiver certificate valid through February 23, 2028 and lists Juan M Escobar, Owner, as its authorized official.

NPPES Registry Identity

NPI1609104215
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEAST COAST MEDICAL CENTER PA
Location Address7664 S US HIGHWAY 1Port St Lucie, FL 34952-2320
Mailing Address7664 S Us Highway 1Port St Lucie, FL 34952-2320 · (772) 879-0699 · Fax (772) 879-6650
Fax(772) 879-6650
Organization SubpartNo
Authorized OfficialJuan M EscobarOwner · (772) 879-0699
Enumeration DateNovember 20, 2009
NPI 1609104215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
7664 S US HIGHWAY 1, Port St Lucie, FL 34952

Other Identifiers 1

Medicare UPIN31367AFL

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 10D0955596

East Coast Medical Center · Port Saint Lucie, FL
Active · expires Feb 23, 2028
CLIA Number10D0955596
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2026
Certificate Expiration DateFebruary 23, 2028
Laboratory DirectorDr. Juan M. Escobar
Laboratory Phone(772) 879-0699
Laboratory LocationEast Coast Medical Center7664 S Us Hwy 1, 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 6

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

Licensed Practical Nurse
7664 S US HIGHWAY 1
PORT ST LUCIE, FL 34952
Internal Medicine
7664 S US HIGHWAY 1
PORT ST LUCIE, FL 34952
Nursing Care
7664 S US HIGHWAY 1
PORT ST LUCIE, FL 34952
Licensed Practical Nurse
7664 S US HIGHWAY 1
PORT ST LUCIE, FL 34952
Licensed Practical Nurse
7664 S US HIGHWAY 1
PORT ST LUCIE, FL 34952
Clinic/Center (Rehabilitation, Substance Use Disorder)
7664 S US HIGHWAY 1
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 East Coast Medical Center PA's NPI number?

The NPI number for East Coast Medical Center PA is 1609104215. It was assigned to this organization in the NPPES registry on November 20, 2009.

Where is East Coast Medical Center PA located?

East Coast Medical Center PA is located at 7664 S Us Highway 1, Port St Lucie, FL 34952. The listed phone number is (772) 879-0699.

What is East Coast Medical Center PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does East Coast Medical Center PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0955596) is associated with this NPI, valid through February 23, 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 East Coast Medical Center PA was last updated on November 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.