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PHYSICIANS IMMEDIATE CARE ST LUCIE WEST, LLC
NPI 1699160952
Clinic/Center - Urgent Care in Port St Lucie, FL

Active since April 03, 2015
1730 SW SAINT LUCIE WEST BLVD, PORT ST LUCIE, FL 34986(772) 873-8155(772) 873-8858 Get Directions Write a Review

NPPES record last updated: April 7, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Physicians Immediate Care St Lucie West, Llc NPPES

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

PHYSICIANS IMMEDIATE CARE ST LUCIE WEST, LLC (NPI 1699160952) is a healthcare organization registered as an urgent care in Port St Lucie, Florida and active in the NPI registry since April 2015. The organization lists Kenneth Palestrant, Ceo, as its authorized official.

NPPES Registry Identity

NPI1699160952
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NamePHYSICIANS IMMEDIATE CARE ST LUCIE WEST, LLC
Location Address1730 SW SAINT LUCIE WEST BLVDPort St Lucie, FL 34986-2504
Mailing Address1730 Sw Saint Lucie West BlvdPort St Lucie, FL 34986-2504 · (772) 873-8155 · Fax (772) 873-8858
Phone(772) 873-8155
Fax(772) 873-8858
Organization SubpartYesParent: Physicians Immediate Care, Inc
Authorized OfficialKenneth PalestrantCeo · (772) 343-1776
Enumeration DateApril 3, 2015
Last NPPES UpdateApril 7, 2015
✔ NPI 1699160952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
License✔ Licensed in FL · HCC8077
1730 SW SAINT LUCIE WEST BLVD, Port St Lucie, FL 34986
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Other Providers at the Same Location NPPES 2

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

ESTEFANIE A WITTEMAN PA-C
Physician Assistant
1730 SW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL 34986
St. Lucie County (772) 873-8155
DR. SANDRA H BOLANOS MD, PHD
Family Medicine
1730 SW SAINT LUCIE WEST BLVD
PORT SAINT LUCIE, FL 34986
St. Lucie County (772) 873-8155

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 Physicians Immediate Care St Lucie West, LLC's NPI number?

The NPI number for Physicians Immediate Care St Lucie West, LLC is 1699160952. It was assigned to this organization in the NPPES registry on April 3, 2015.

Where is Physicians Immediate Care St Lucie West, LLC located?

Physicians Immediate Care St Lucie West, LLC is located at 1730 SW Saint Lucie West Blvd, Port St Lucie, FL 34986. The listed phone number is (772) 873-8155.

What is Physicians Immediate Care St Lucie West, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

When was this NPI record last updated?

The NPPES record for Physicians Immediate Care St Lucie West, LLC was last updated on April 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.