Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clinical Toxicology PA

Organization Anatomic Pathology & Clinical Pathology Physician · NPI 1154870657

Clinical Toxicology PA is an Anatomic Pathology & Clinical Pathology Physician in Port Saint Lucie, Florida. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10269 SW Village Pkwy 102
Port Saint Lucie, FL 34987-2369
Phone: (631) 317-0988
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence ME110112 (FL)

Record details

NPI number1154870657
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Burks — President · (631) 317-0988
NPI enumeratedSeptember 25, 2016
Last updated in NPPESSeptember 25, 2016
Mailing address10269 Sw Village Pkwy, 102, Port Saint Lucie, FL 34987-2369

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