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

St Lucie Surgical Associates PA

Organization Surgery Physician · NPI 1770730459

St Lucie Surgical Associates PA is a Surgery Physician in Port St Lucie, Florida. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
4
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

8483 S US Highway 1 Ste 19
Port St Lucie, FL 34952-3360
Phone: (772) 873-8501
Fax: (772) 873-8516
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Trauma Surgery Physician Taxonomy 2086S0127X
Vascular Surgery Physician Taxonomy 2086S0129X
Surgical Oncology Physician Taxonomy 2086X0206X

Record details

NPI number1770730459
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ian Concilio — Owner/Physician · (772) 873-8501
NPI enumeratedAugust 25, 2008
Last updated in NPPESSeptember 30, 2008
Mailing addressPo Box 7665, Port St Lucie, FL 34985-7665

Other providers in Port St Lucie