Pediatric Alternative Treatment Care, Housing & Evaluation Services in Fort Pierce - General Care
Pediatric Alternative Treatment Care, Housing & Evaluation Services - NPI 1245490465
Pediatric Alternative Treatment Care, Housing & Evaluation Services is a General Care in Fort Pierce, Florida. Pediatric Alternative Treatment Care, Housing & Evaluation Services practices all healthcare services and medical treatments related to General Care. The NPI Number for Pediatric Alternative Treatment Care, Housing & Evaluation Services is 1245490465. The last update date is 2019-09-11.
Pediatric Alternative Treatment Care, Housing & Evaluation Services's current location address is 4300 Okeechobee Rd, Fort Pierce, Florida. You can contact this provider via phone number 7724626601. The mailing address for Pediatric Alternative Treatment Care, Housing & Evaluation Services is 4300 Okeechobee Rd, Fort Pierce, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Alternative Treatment Care, Housing & Evaluation Services |
|---|---|
| Address | 4300 Okeechobee Rd, Fort Pierce, Florida |
| Phone Number | 7724626601 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Smith Kyle Azona |
| Credentials | RN, BSN |
| Telephone Number | 3052428122 |
NPI Number Detail
| NPI Number | 1245490465 |
|---|---|
| Provider Enumeration Date | 2008-06-11 |
| Last Updated Date | 2019-09-11 |
Provider Mailing Address Detail
| Address | 4300 Okeechobee Rd |
|---|---|
| City | Fort Pierce |
| State | Florida (FL) |
| Post Code | 349475407 |
| Phone Number | 7724626601 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Care |
|---|---|
| Taxonomy | 2279G1100X |
| Licence No | 891891900 |
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Definition: This level of care includes diagnostics testing, therapeutics, monitoring, rehabilitation of patients with disorders of the cardiopulmonary system, as well as, education of the patient and family in regard to those disorders. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 891861900 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Pediatric Alternative Treatment Care, Housing & Evaluation Services by the Centers for Medicare & Medicaid Services?
The Pediatric Alternative Treatment Care, Housing & Evaluation Services has been assigned the NPI (National Provider Identifier) 1245490465 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Pediatric Alternative Treatment Care, Housing & Evaluation Services is located?
The Pediatric Alternative Treatment Care, Housing & Evaluation Services is situated at the following address: 4300 Okeechobee Rd, Fort Pierce, FL, 349475407.
What is the Pediatric Alternative Treatment Care, Housing & Evaluation Services's specialty and taxonomy code?
The Pediatric Alternative Treatment Care, Housing & Evaluation Services's specialty is General Care, and the corresponding taxonomy code is 2279G1100X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1245490465 to Pediatric Alternative Treatment Care, Housing & Evaluation Services?
The Centers for Medicare & Medicaid Services originally issued the 1245490465 to Pediatric Alternative Treatment Care, Housing & Evaluation Services on 2008-06-11.
When was the information regarding Pediatric Alternative Treatment Care, Housing & Evaluation Services, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Pediatric Alternative Treatment Care, Housing & Evaluation Services, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-09-11.
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