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

John R Istad PA

Organization Medical Specialty Clinic/Center · NPI 1720381452

John R Istad PA is a Medical Specialty Clinic/Center in Port Saint Lucie, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
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

1105 SE Port St Lucie Blvd
Port Saint Lucie, FL 34952-5332
Phone: (772) 398-5400
Fax: (772) 398-6600
Show map & directions

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

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X · Licence CH6232 (FL)

Record details

NPI number1720381452
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Istad — Owner · (772) 398-5400
NPI enumeratedDecember 20, 2010
Last updated in NPPESMarch 11, 2011
Mailing address1105 Se Port St Lucie Blvd, Port Saint Lucie, FL 34952-5332

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