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Martin Memorial Physician Corporation, Inc

Community/Retail Pharmacy in Port St Lucie, FL · enumerated 2017 · authorized official Timothy Longville, Chief Accounting Officer/Controller.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1407365513

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Registry record

Entity type Organization (Type 2)
Legal business name Martin Memorial Physician Corporation, Inc
Other name <Unavail>
Practice address 10080 Sw Innovation Way Ste 102, Port St Lucie, FL, 34987
Phone (772) 345-8166
Fax (772) 345-8167
Enumeration date Sep 21, 2017
Last updated in NPPES Dec 8, 2022

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License PH30943 (FL) Primary

Authorized official

Name Timothy Longville
Title Chief Accounting Officer/Controller
Phone (216) 636-7416

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Martin Memorial Physician Corporation, Inc?
NPPES lists Timothy Longville (Chief Accounting Officer/Controller) as the authorized official for this organization.
What is the NPI number for Martin Memorial Physician Corporation, Inc?
The NPI for Martin Memorial Physician Corporation, Inc is 1407365513, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-12-08.