WELLNESS& REJUVINATION CENTRE P.A. NPI 1326508458

NPI Information

NPI: 1326508458
Provider Name: WELLNESS& REJUVINATION CENTRE, P.A.
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address: 270 NW PEACOCK BLVD STE 114
PORT ST LUCIE, FL
ZIP 34986
Phone: (772) 600-1000

Map and Directions

Get Directions

NPI Details

WELLNESS& REJUVINATION CENTRE, P.A. is a preferred provider organization in Port St Lucie, FL. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. WELLNESS& REJUVINATION CENTRE, P.A. NPI is 1326508458. The provider is registered as an organization entity type.

The provider's business location address is:

270 NW PEACOCK BLVD STE 114
PORT ST LUCIE, FL
ZIP 34986-602
Phone: (772) 600-1000

The provider's authorized official is Bernier Lauredan .
The authorized official title is Pd and has the following contact phone number (908) 265-6199.

The enumeration date for this NPI number is 3/24/2019 and was last updated on 3/24/2019.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	305R00000X	Preferred Provider Organization				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ME126942	OTHER	FLORIDA	DEPARTMENT OF HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI