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

Treasure Coast Neurology West, LLC

Organization Multi-Specialty Clinic/Center · NPI 1619921301

Treasure Coast Neurology West, LLC is a Multi-Specialty Clinic/Center in Port St Lucie, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
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

1420 SW Saint Lucie West Blvd Ste 102
Port St Lucie, FL 34986-1709
Phone: (772) 873-1005
Fax: (772) 595-9986
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X · Licence ARNP 3283142 (FL)

Record details

NPI number1619921301
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lucille Vandevere — Owner · (772) 873-1005
NPI enumeratedMay 19, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 881565, Port St Lucie, FL 34988-1565

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