Wholistic Medicine Clin in Port St Lucie - Clinic/center
Wholistic Medicine Clin - NPI 1619033362
Wholistic Medicine Clin is a Clinic/center in Port St Lucie, Florida. Wholistic Medicine Clin practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Wholistic Medicine Clin is 1619033362. The last update date is 2008-09-08.
Wholistic Medicine Clin's current location address is 1405 Se Goldtree Dr, Port St Lucie, Florida. You can contact this provider via phone number 7723355022 and fax number 7723355029. The mailing address for Wholistic Medicine Clin is 1405 Se Goldtree Dr, Port St Lucie, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wholistic Medicine Clin |
|---|---|
| Address | 1405 Se Goldtree Dr, Port St Lucie, Florida |
| Phone Number | 7723355022 |
| Fax Number | 7723355029 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING P |
|---|---|
| Authorized Official Name | Tye G William |
| Telephone Number | 7723355022 |
NPI Number Detail
| NPI Number | 1619033362 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2008-09-08 |
Provider Mailing Address Detail
| Address | 1405 Se Goldtree Dr |
|---|---|
| City | Port St Lucie |
| State | Florida (FL) |
| Post Code | 349527563 |
| Phone Number | 7723355022 |
| Fax Number | 7723355029 |
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 94821 | FL | BLUECROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Wholistic Medicine Clin by the Centers for Medicare & Medicaid Services?
The Wholistic Medicine Clin has been assigned the NPI (National Provider Identifier) 1619033362. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Wholistic Medicine Clin located?
The Wholistic Medicine Clin is located at 1405 Se Goldtree Dr, Port St Lucie, FL 349527563.
What is Wholistic Medicine Clin's area of expertise and its corresponding taxonomy classification?
The Wholistic Medicine Clin's field of specialization is Clinic/center, and it falls under the taxonomy code 261Q00000X, which categorizes healthcare providers based on their areas of practice.
When was the Wholistic Medicine Clin's 1619033362 issued?
The Wholistic Medicine Clin's 1619033362 was issued on 2006-12-28.
When was the information pertaining to Wholistic Medicine Clin most recently updated or revised?
The details related to Wholistic Medicine Clin, including its address, specialty, and other relevant information, were last updated or revised on 2008-09-08.