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TREASURE COAST NEUROLOGY WEST, LLC
NPI 1619921301
Clinic/Center - Multi-Specialty in Port St Lucie, FL

Active since May 19, 2006
1420 SW SAINT LUCIE WEST BLVD, SUITE 102, PORT ST LUCIE, FL 34986(772) 873-1005(772) 595-9986 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Treasure Coast Neurology West, Llc NPPES

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

TREASURE COAST NEUROLOGY WEST, LLC (NPI 1619921301) is a healthcare organization registered as a multi-specialty in Port St Lucie, Florida and active in the NPI registry since May 2006. The organization lists Lucille Ann Vandevere, Owner, as its authorized official.

NPPES Registry Identity

NPI1619921301
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameTREASURE COAST NEUROLOGY WEST, LLC
Location Address1420 SW SAINT LUCIE WEST BLVD, SUITE 102Port St Lucie, FL 34986-1709
Mailing AddressPo Box 881565Port St Lucie, FL 34988-1565 · (772) 873-1005 · Fax (772) 595-9986
Phone(772) 873-1005
Fax(772) 595-9986
Organization SubpartNo
Authorized OfficialLucille Ann VandevereOwner · (772) 873-1005
Enumeration DateMay 19, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1619921301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License✔ Licensed in FL · ARNP 3283142
1420 SW SAINT LUCIE WEST BLVD, Port St Lucie, FL 34986
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Other Providers at the Same Location NPPES 3

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

AGUSTIN C SANZ MD PA
Specialist
1420 SW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL 34986
St. Lucie County (772) 879-4667
PATRICK M. GONZALEZ M.D.
Physical Medicine & Rehabilitation
1420 SW SAINT LUCIE WEST BLVD, SUITE 102
PORT ST LUCIE, FL 34986
St. Lucie County (772) 873-1005
PATRICK M. GONZALEZ, M.D., P.A.
Physical Medicine & Rehabilitation
1420 SW SAINT LUCIE WEST BLVD, SUITE 102
PORT SAINT LUCIE, FL 34986
St. Lucie County (772) 873-1005

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 Treasure Coast Neurology West, LLC's NPI number?

The NPI number for Treasure Coast Neurology West, LLC is 1619921301. It was assigned to this organization in the NPPES registry on May 19, 2006.

Where is Treasure Coast Neurology West, LLC located?

Treasure Coast Neurology West, LLC is located at 1420 SW Saint Lucie West Blvd Suite 102, Port St Lucie, FL 34986. The listed phone number is (772) 873-1005.

What is Treasure Coast Neurology West, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Treasure Coast Neurology West, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.