OrganizationActive
Clinical Toxicology PA
NPI 1154870657 · Anatomic Pathology & Clinical Pathology Physician · Port Saint Lucie, FL
Provider details
- NPI number
- 1154870657
- Entity type
- Organization
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bruce Burks, President(631) 317-0988
- License
- ME110112 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10269 Sw Village Pkwy
102
Port Saint Lucie, FL 34987-2369
Phone: (631) 317-0988
Street-level locationGet directions
Mailing address
10269 Sw Village Pkwy
Port Saint Lucie, FL 34987-2369
Registry dates
- Enumerated
- 2016-09-25
- Last updated
- 2016-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.