LIBERTY MEDICAL
NPI 1780951509
Clinic/Center - Urgent Care in Port Saint Lucie, FL

Active since November 22, 2011
10400 S US HIGHWAY 1, PORT SAINT LUCIE, FL 34952(772) 398-5651(772) 337-4971 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Liberty Medical NPPES

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

LIBERTY MEDICAL (NPI 1780951509) is a healthcare organization registered as an urgent care in Port Saint Lucie, Florida and active in the NPI registry since November 2011. The organization lists Jon Leizman, President, as its authorized official.

NPPES Registry Identity

NPI1780951509
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NamePREMISE HEALTH OF FLORIDA MEDICAL, P.A.
Location Address10400 S US HIGHWAY 1Port Saint Lucie, FL 34952-5600
Mailing Address5500 Maryland WayBrentwood, TN 37027-7048
Fax(772) 337-4971
Organization SubpartNo
Authorized OfficialJon LeizmanPresident · (216) 479-9063
Enumeration DateNovember 22, 2011
Last NPPES UpdateAugust 15, 2022
NPPES CertifiedAugust 15, 2022
NPI 1780951509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
Also ListedClinic/Center · Occupational MedicineTaxonomy 261QX0100X
10400 S US HIGHWAY 1, Port Saint Lucie, FL 34952

Other Names 1

Doing Business AsLiberty Medical

Other Providers at the Same Location NPPES 5

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

Pharmacy (Mail Order Pharmacy)
10400 S US HIGHWAY 1, SUITE 200
PORT ST LUCIE, FL 34952
Clinical Medical Laboratory
10400 S US HIGHWAY 1, SUITE 500
PORT ST LUCIE, FL 34952
Pharmacist
10400 S US HIGHWAY 1
PORT ST LUCIE, FL 34952
Pharmacist
10400 S US HIGHWAY 1, SUITE 200
PORT ST LUCIE, FL 34952
Clinical Medical Laboratory
10400 S US HIGHWAY 1, SUITE # 500
PORT ST 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 Premise Health Of Florida Medical, P.A.'s NPI number?

The NPI number for Premise Health Of Florida Medical, P.A. is 1780951509. It was assigned to this organization in the NPPES registry on November 22, 2011. The provider is doing business as Liberty Medical.

Where is Premise Health Of Florida Medical, P.A. located?

Premise Health Of Florida Medical, P.A. is located at 10400 S Us Highway 1, Port Saint Lucie, FL 34952. The listed phone number is (772) 398-5651.

What is Premise Health Of Florida Medical, P.A.'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 Premise Health Of Florida Medical, P.A. was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.