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MARTIN MEMORIAL MEDICENTER AT ST LUCIE WEST
NPI 1821147059
Family Medicine in Port St Lucie, FL

Active since January 09, 2007
1095 NW SAINT LUCIE WEST BLVD, PORT ST LUCIE, FL 34986(772) 785-5500(772) 785-5598 Get Directions Write a Review

NPPES record last updated: August 27, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Martin Memorial Medicenter At St Lucie West NPPES

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

MARTIN MEMORIAL MEDICENTER AT ST LUCIE WEST (NPI 1821147059) is a healthcare organization registered as a family medicine in Port St Lucie, Florida and active in the NPI registry since January 2007. The organization lists Markey Debbie, Manager, as its authorized official.

NPPES Registry Identity

NPI1821147059
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOASTAL CARE CORPORATION
Location Address1095 NW SAINT LUCIE WEST BLVDPort St Lucie, FL 34986-1719
Mailing AddressPo Box 417Stuart, FL 34995-0417 · (772) 223-5665 · Fax (772) 223-5646
Phone(772) 785-5500
Fax(772) 785-5598
Organization SubpartNo
Authorized OfficialMarkey DebbieManager · (772) 785-5510
Enumeration DateJanuary 9, 2007
Last NPPES UpdateAugust 27, 2013
✔ NPI 1821147059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · 110680041014466
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1095 NW SAINT LUCIE WEST BLVD, Port St Lucie, FL 34986
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Other Names 1

Doing Business AsMartin Memorial Medicenter At St Lucie West

Other Identifiers 3

Medicaid064696207FL
Medicare PIN98491IFL
Medicare NSC1142590007FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

BROOKE KULP D.O.
Pediatrics
1095 NW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL 34986
St. Lucie County (772) 785-5502
TURTLE RUN EMERGENCY PHYSICIANS LLC
Emergency Medicine
1095 NW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL 34986
St. Lucie County (772) 785-5500
DR. MEL TIMTIMAN LIZASO MD
Radiology (Radiation Oncology)
1095 NW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL 34986
St. Lucie County (772) 288-5890
VIEN T LE M.D.
Internal Medicine
1095 NW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL 34986
St. Lucie County (772) 785-5511
ANGELICA ITALIANO DO
Internal Medicine
1095 NW SAINT LUCIE WEST BLVD
PORT SAINT LUCIE, FL 34986
St. Lucie County (800) 826-6737
JORDAN M BROMBERG M.D.
Internal Medicine (Geriatric Medicine)
1095 NW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL 34986
St. Lucie County (772) 223-5665
DR. JENNY BEREZANSKAYA D.O.
Family Medicine
1095 NW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL 34986
St. Lucie County (772) 785-5511
PAUL YOSMIN CASANOVA-ROMERO M.D., M.P.H.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1095 NW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL 34986
St. Lucie County (772) 785-5581

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 Coastal Care Corporation's NPI number?

The NPI number for Coastal Care Corporation is 1821147059. It was assigned to this organization in the NPPES registry on January 9, 2007. The provider is doing business as Martin Memorial Medicenter At St Lucie West.

Where is Coastal Care Corporation located?

Coastal Care Corporation is located at 1095 NW Saint Lucie West Blvd, Port St Lucie, FL 34986. The listed phone number is (772) 785-5500.

What is Coastal Care Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Coastal Care Corporation was last updated on August 27, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.