St. Lucie General Services INC
Clinic/Center in Port St Lucie, FL. Organization (NPI-2).
NPI number1033096367
StatusActive
Last updated in NPPESAug 19, 2025
Details
- NPI
- 1033096367
- Entity type
- Organization (NPI-2)
- Legal business name
- St. Lucie General Services INC
- Organization subpart
- No
- Enumeration date
- Aug 19, 2025
- Certification date
- Aug 19, 2025
- Last updated
- Aug 19, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
1401 Se Goldtree Dr Ste 103Port St Lucie, FL 34952-7584
Phone 239-238-2580 · Fax 239-237-5491
Mailing address
1401 Se Goldtree Dr Ste 103Port St Lucie, FL 34952-7584
Phone 239-238-2580 · Fax 239-237-5491
Authorized official
Marlon Gilbert
Medical Doctor
2392382580
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 13 Clinic/Center providers in Port St Lucie · All 3,747 providers in Port St Lucie
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