OrganizationActive
Treasure Coast Neurology West, LLC
NPI 1619921301 · Multi-Specialty Clinic/Center · Port St Lucie, FL
Provider details
- NPI number
- 1619921301
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lucille Vandevere, Owner(772) 873-1005
- License
- ARNP 3283142 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
1420 Sw Saint Lucie West Blvd
Suite 102
Port St Lucie, FL 34986-1709
Phone: (772) 873-1005
Fax: (772) 595-9986
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 881565
Port St Lucie, FL 34988-1565
Registry dates
- Enumerated
- 2006-05-19
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.