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

Md-Prac LLC

Organization Contractor · NPI 1972251270

Md-Prac LLC is a Contractor in Port St Lucie, Florida. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1860 SW Fountainview Blvd Ste 100
Port St Lucie, FL 34986-4528
Phone: (833) 245-5633
Fax: (833) 962-6213
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X

Record details

NPI number1972251270
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Naomi Manning — Consultant · (833) 245-5633
NPI enumeratedMarch 15, 2022
Last updated in NPPESMarch 15, 2022
Certification dateSeptember 18, 2021
Mailing address4662 Sw Bradbury St, Port St Lucie, FL 34953-5563

Other providers in Port St Lucie