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

Martin Memorial Physician Corporation, Inc

Organization Community/Retail Pharmacy · NPI 1407365513

Martin Memorial Physician Corporation, Inc is a Community/Retail Pharmacy in Port St Lucie, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

10080 SW Innovation Way Ste 102
Port St Lucie, FL 34987-2129
Phone: (772) 345-8166
Fax: (772) 345-8167
Show map & directions

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

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PH30943 (FL)

Record details

NPI number1407365513
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Longville — Chief Accounting Officer/Controller · (216) 636-7416
Other names Mhpg Tradition Pharmacy At Martin Health
NPI enumeratedSeptember 21, 2017
Last updated in NPPESDecember 8, 2022
Certification dateDecember 8, 2022
Mailing address10080 Sw Innovation Way Ste 102, Port St Lucie, FL 34987-2129

Other providers in Port St Lucie