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INTEGRATIVE WELLNESS CENTERS OF PORT CHARLOTTE LLC NPI 1487329348


NPI Information

NPI: 1487329348
Provider Name: INTEGRATIVE WELLNESS CENTERS OF PORT CHARLOTTE, LLC

Doing Business As: INTEGRATIVE WELLNESS CENTERS

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 10D2260246

Address:
4535 TAMIAMI TRL
PORT CHARLOTTE, FL
ZIP 33980
Phone: (941) 625-2667
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INTEGRATIVE WELLNESS CENTERS OF PORT CHARLOTTE, LLC is a clinic center in Port Charlotte, FL. The provider is 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). INTEGRATIVE WELLNESS CENTERS OF PORT CHARLOTTE, LLC NPI is 1487329348. The provider is registered as an organization entity type.
The provider Is Doing Business As Integrative Wellness Centers.

The provider's business location address is:

4535 TAMIAMI TRL
PORT CHARLOTTE, FL
ZIP 33980-930
Phone: (941) 625-2667
Fax: (941) 315-9922

The provider's authorized official is Lillian Teresa Palmer .
The authorized official title is Ao and has the following contact phone number (941) 661-5425.

The CLIA number assigned to this NPI record is 10D2260246 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/12/2021 and was last updated on 1/24/2023.


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
1261Q00000XClinic/CenterYes

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: 5/5/2024

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