| NPI | 1649896127 |
|---|---|
| Doing Business As | SURAMED HEALTH CENTER PA PORT SAINT LUCIE |
| Entity Type | Organization |
| Authorized Contact | ALFONSO J HENRIQUEZ Pediatrics 772-204-2909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2024-08-16 |