IN THE IMAGE OF CHRIST INC NPI 1447007448

NPI Information

  • NPI: 1447007448
  • Provider Name: IN THE IMAGE OF CHRIST INC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 10D1069447
  • Address: 3090 AVENUE G
    FORT PIERCE, FL
    ZIP 34947
  • Phone: (772) 461-7788

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NPI Details

IN THE IMAGE OF CHRIST INC is a specialist in Fort Pierce, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. IN THE IMAGE OF CHRIST INC NPI is 1447007448. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3090 AVENUE G
FORT PIERCE, FL
ZIP 34947-912
Phone: (772) 461-7788

The provider's authorized official is Jeff Hertz .
The authorized official title is Administrator and has the following contact phone number (917) 359-5549.

The CLIA number assigned to this NPI record is 10D1069447 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/6/2024 and was last updated on 8/21/2024.

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
1174400000XSpecialistYes

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: 3/30/2025

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