location
search-icon
institution
John R Istad Pa
Medical Specialty Clinic/Center in Port Saint Lucie, Florida
NPI 1720381452

John R Istad Pa is a Medical Specialty Clinic/Center based in Port Saint Lucie, FL and is specialized in Medical Specialty. John R Istad Pa practices in Port Saint Lucie, FL. The NPI Number for John R Istad Pa is 1720381452 and holds a License No. CH6232 (Florida).

The current practice location address for John R Istad Pa is 1105 Se Port St Lucie Blvd, Port Saint Lucie, FL and can be reached out via phone at 772-398-5400 and via fax at 772-398-6600.

Location: 1105 Se Port St Lucie Blvd, Port Saint Lucie, FL, 34952-5332
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720381452
Provider Name
John R Istad Pa
Credential
Provider Entity Type
Organization
Address
1105 Se Port St Lucie Blvd, Port Saint Lucie, FL, 34952-5332
Phone Number
772-398-5400
Fax Number
772-398-6600
Provider Enumeration Date
12/20/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1105 Se Port St Lucie Blvd
City
Port Saint Lucie
State
Florida
Zip
34952-5332
Phone Number
772-398-5400
Fax Number
772-398-6600
person
Provider Business Mailing Address Details
Address
1105 Se Port St Lucie Blvd
City
Port Saint Lucie
State
Florida
Zip
34952-5332
Phone Number
772-398-5400
Fax Number
772-398-6600
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
CH6232 (Florida)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.