TANIA MCLEAN ADULT & GERIATRIC PRIMARY CARE SERVICES LLC NPI 1083192819

NPI Information

TANIA MCLEAN ADULT & GERIATRIC PRIMARY CARE SERVICES, LLC is a general practice in Port St Lucie, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee TANIA MCLEAN ADULT & GERIATRIC PRIMARY CARE SERVICES, LLC NPI is 1083192819. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Quality Wellness.

The provider's business location address is:

4182 SW BAIRD ST
PORT ST LUCIE, FL
ZIP 34953-136
Phone: (561) 714-6059

The provider's authorized official is Tania Burey Mclean .
The authorized official title is Owner and has the following contact phone number (561) 714-6059.

The CLIA number assigned to this NPI record is 10D2189356 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/2/2018 and was last updated on 5/7/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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