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Wholistic Medicine Clin
Clinic/Center in Port St Lucie, Florida
NPI 1619033362

Wholistic Medicine Clin is a Clinic/Center based in Port St Lucie, FL. Wholistic Medicine Clin practices in Port St Lucie, FL. The NPI Number for Wholistic Medicine Clin is 1619033362 and holds a License No. (Florida).

The current practice location address for Wholistic Medicine Clin is 1405 Se Goldtree Dr, Port St Lucie, FL and can be reached out via phone at 772-335-5022 and via fax at 772-335-5029.

Location: 1405 Se Goldtree Dr, Port St Lucie, FL, 34952-7563
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619033362
Provider Name
Wholistic Medicine Clin
Credential
Provider Entity Type
Organization
Address
1405 Se Goldtree Dr, Port St Lucie, FL, 34952-7563
Phone Number
772-335-5022
Fax Number
772-335-5029
Provider Enumeration Date
12/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
94821 01 FL BLUECROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1405 Se Goldtree Dr
City
Port St Lucie
State
Florida
Zip
34952-7563
Phone Number
772-335-5022
Fax Number
772-335-5029
person
Provider Business Mailing Address Details
Address
1405 Se Goldtree Dr
City
Port St Lucie
State
Florida
Zip
34952-7563
Phone Number
772-335-5022
Fax Number
772-335-5029
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
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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., radiology, poor, and public health).
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