DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOHN R ISTAD PA

Active Organization

JOHN R ISTAD PA is a Medical Specialty Clinic organization located in PORT SAINT LUCIE, Florida. NPI 1720381452 is currently active in the NPPES registry. Verify at CMS.

Medical Specialty Clinic · PORT SAINT LUCIE, FL

Registration Details

NPI Number
1720381452
Provider Type
Organization
NPI Issued
Dec 20, 2010 (15.683195065921 yrs)
Last Updated
Mar 11, 2011
License
CH6232 (FL)

Practice Information

Address
1105 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL, 349525332
Browse FL providers · Browse ZIP 34952
Phone
7723985400
Fax
7723986600
Primary Specialty
Medical Specialty Clinic
261QM2500X

Other Medical Specialty Clinic Organizations in PORT SAINT LUCIE, FL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.