PORT ST LUCIE MEDICAL WELLNESS
NPI 1821821067
Nurse Practitioner - Primary Care in Port Saint Lucie, FL

Active since August 22, 2024
702 SW PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34953(772) 207-0080 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Port St Lucie Medical Wellness NPPES

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

PORT ST LUCIE MEDICAL WELLNESS (NPI 1821821067) is a healthcare organization registered as a primary care in Port Saint Lucie, Florida and active in the NPI registry since August 2024. The organization lists Harsha Setty, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1821821067
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NamePORT ST LUCIE MEDICAL WELLNESS
Location Address702 SW PORT ST LUCIE BLVDPort Saint Lucie, FL 34953-2617
Mailing Address702 Sw Port St Lucie BlvdPort Saint Lucie, FL 34953-2617 · (772) 207-0080
Organization SubpartNo
Authorized OfficialHarsha SettyMedical Director · (813) 629-6203
Enumeration DateAugust 22, 2024
NPPES CertifiedAugust 22, 2024
NPI 1821821067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Also ListedDermatologyTaxonomy 207N00000X
702 SW PORT ST LUCIE BLVD, Port Saint Lucie, FL 34953

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 2

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

Optometrist
702 SW PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL 34953
Optometrist
702 SW PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34953

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 Port St Lucie Medical Wellness's NPI number?

The NPI number for Port St Lucie Medical Wellness is 1821821067. It was assigned to this organization in the NPPES registry on August 22, 2024.

Where is Port St Lucie Medical Wellness located?

Port St Lucie Medical Wellness is located at 702 SW Port St Lucie Blvd, Port Saint Lucie, FL 34953. The listed phone number is (772) 207-0080.

What is Port St Lucie Medical Wellness's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Port St Lucie Medical Wellness was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.