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

Port St Lucie Medical Wellness

Organization Dermatology Physician · NPI 1821821067

Port St Lucie Medical Wellness is a Dermatology Physician in Port Saint Lucie, Florida. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

702 SW Port St Lucie Blvd
Port Saint Lucie, FL 34953-2617
Phone: (772) 207-0080
Show map & directions

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

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X
Dermatology Physician Taxonomy 207N00000X

Record details

NPI number1821821067
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Harsha Setty — Medical Director · (813) 629-6203
NPI enumeratedAugust 22, 2024
Last updated in NPPESAugust 22, 2024
Certification dateAugust 22, 2024
Mailing address702 Sw Port St Lucie Blvd, Port Saint Lucie, FL 34953-2617

Other providers in Port Saint Lucie