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

Coral Way Medical Center Inc

Organization General Practice Physician · NPI 1427231562

Coral Way Medical Center Inc is a General Practice Physician in Port St Lucie, Florida. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1940 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5510
Phone: (772) 337-4430
Fax: (772) 337-4431
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1427231562
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronald Lubetsky — President · (772) 337-4430
NPI enumeratedDecember 12, 2007
Last updated in NPPESNovember 2, 2009
Mailing address1940 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5510

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