Provider Demographics
NPI:1831653997
Name:TREASURE COAST MEDICAL ASSOCIATES
Entity Type:Organization
Organization Name:TREASURE COAST MEDICAL ASSOCIATES
Other - Org Name:HIGHLANDS URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:ADELBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FAEO
Authorized Official - Phone:772-692-8082
Mailing Address - Street 1:3405 NW FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:JENSEN BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:34957-4439
Mailing Address - Country:US
Mailing Address - Phone:772-692-8082
Mailing Address - Fax:772-232-9383
Practice Address - Street 1:7195 S GEORGE BLVD
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33875-5823
Practice Address - Country:US
Practice Address - Phone:863-451-5854
Practice Address - Fax:863-304-8838
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TREASURE COAST MEDICAL ASSOCIATES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-23
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty