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Radiant Recharge Llc
Public Health or Welfare Agency in Port St Lucie, Florida
NPI 1366204927

Radiant Recharge Llc is a Public Health or Welfare Agency based in Port St Lucie, FL. Radiant Recharge Llc practices in Port St Lucie, FL. The NPI Number for Radiant Recharge Llc is 1366204927 and holds a License No. (Florida).

The current practice location address for Radiant Recharge Llc is 466 Sw Port St Lucie Blvd Ste 114, Port St Lucie, FL and can be reached out via phone at 772-837-0500.

Location: 466 Sw Port St Lucie Blvd Ste 114, Port St Lucie, FL, 34986-3224
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366204927
Provider Name
Radiant Recharge Llc
Credential
Provider Entity Type
Organization
Address
466 Sw Port St Lucie Blvd Ste 114, Port St Lucie, FL, 34986-3224
Phone Number
772-837-0500
Fax Number
Provider Enumeration Date
01/29/2024
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1093305062 01 IL REGISTERED NURSE
institution
Provider Business Practice Location Address Details
Address
466 Sw Port St Lucie Blvd Ste 114
City
Port St Lucie
State
Florida
Zip
34953-2091
Phone Number
772-837-0500
Fax Number
person
Provider Business Mailing Address Details
Address
466 Sw Port St Lucie Blvd Ste 114
City
Port St Lucie
State
Florida
Zip
34953-2091
Phone Number
772-837-0500
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Community Health
Taxonomy
163WC1500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Home Health
Taxonomy
163WH0200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Phlebotomy
Taxonomy
246RP1900X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Agencies
Classification
Nursing Care
Speciality
-
Taxonomy
251J00000X
License No.
()
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
person
Provider's Taxonomy Details 5
Type
Agencies
Classification
Public Health or Welfare
Speciality
-
Taxonomy
251K00000X
License No.
()
Definition
Definition to come...
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