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

Premium Primary Care & Walk-In Clinic Inc

Organization Family Medicine Physician · NPI 1700654167

Premium Primary Care & Walk-In Clinic Inc is a Family Medicine Physician in Port St Lucie, Florida. Registered with an NPI since 2023.

In the registry since
2023
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

1801 SE Hillmoor Dr Unit A-107P
Port St Lucie, FL 34952-7553
Phone: (772) 446-0950
Fax: (772) 446-0956
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1700654167
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patrick Vergel De Dios — Aprn · (772) 446-0950
NPI enumeratedDecember 15, 2023
Last updated in NPPESDecember 15, 2023
Certification dateDecember 15, 2023
Mailing address1801 Se Hillmoor Dr Unit A-107p, Port St Lucie, FL 34952-7553

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