Wholistic Medicine Clinic, Llc in Fort Pierce - Clinic/center
Wholistic Medicine Clinic, Llc - NPI 1750447405
Wholistic Medicine Clinic, Llc is a Clinic/center in Fort Pierce, Florida. Wholistic Medicine Clinic, Llc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Wholistic Medicine Clinic, Llc is 1750447405. The last update date is 2020-08-22.
Wholistic Medicine Clinic, Llc's current location address is 2401 Frist Blvd, Fort Pierce, Florida. You can contact this provider via phone number 7724679043 and fax number 7724646478. The mailing address for Wholistic Medicine Clinic, Llc is 2401 Frist Blvd, Fort Pierce, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wholistic Medicine Clinic, Llc |
|---|---|
| Address | 2401 Frist Blvd, Fort Pierce, Florida |
| Phone Number | 7724679043 |
| Fax Number | 7724646478 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING P |
|---|---|
| Authorized Official Name | Tye G William |
| Telephone Number | 7722872677 |
NPI Number Detail
| NPI Number | 1750447405 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2401 Frist Blvd |
|---|---|
| City | Fort Pierce |
| State | Florida (FL) |
| Post Code | 349504839 |
| Phone Number | 7724679043 |
| Fax Number | 7724646478 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 24565 | FL | BLUECROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Wholistic Medicine Clinic, Llc by the Centers for Medicare & Medicaid Services?
The Wholistic Medicine Clinic, Llc has been issued the NPI (National Provider Identifier) 1750447405 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Wholistic Medicine Clinic, Llc's physical address?
The Wholistic Medicine Clinic, Llc is physically located at 2401 Frist Blvd, in the city of Fort Pierce, FL, with the postal code 349504839.
What is Wholistic Medicine Clinic, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Wholistic Medicine Clinic, Llc's specialized field of practice is Clinic/center, and the corresponding taxonomy code that categorizes this area of specialization is 261Q00000X.
On what date did the Wholistic Medicine Clinic, Llc receive its 1750447405 assignment from the Centers for Medicare & Medicaid Services?
The Wholistic Medicine Clinic, Llc was assigned its 1750447405 by the Centers for Medicare & Medicaid Services on 2006-12-28.
As of what date were the Wholistic Medicine Clinic, Llc's details last updated?
The information pertaining to the Wholistic Medicine Clinic, Llc, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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