Aspire Primary Care
Clinic/Center in Port St Lucie, FL. Organization (NPI-2).
NPI number1184356354
StatusActive
Last updated in NPPESApr 14, 2023
Details
- NPI
- 1184356354
- Entity type
- Organization (NPI-2)
- Legal business name
- Aspire Primary Care
- Organization subpart
- No
- Enumeration date
- Jun 27, 2022
- Certification date
- Apr 14, 2023
- Last updated
- Apr 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
1715 Se Tiffany AvePort St Lucie, FL 34952-7511
Phone 772-618-2121
Mailing address
10570 Sw Capraia WayPort St Lucie, FL 34986-2885
Phone 772-618-2121
Authorized official
Neysa Batiz
Member
7726182121
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