TRADITION HEALTH AND WELLNESS CLINIC PLLC NPI 1720840168

NPI Information

  • NPI: 1720840168
  • Provider Name: TRADITION HEALTH AND WELLNESS CLINIC PLLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: BLUE SKIES HEALTH & WELLNESS CLINIC
  • CLIA Number: 10D2308431
  • Address: 10198 SW VILLAGE PKWY STE 105
    PORT ST LUCIE, FL
    ZIP 34987
  • Phone: (772) 934-4990

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NPI Details

TRADITION HEALTH AND WELLNESS CLINIC PLLC is a family medicine in Port St Lucie, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TRADITION HEALTH AND WELLNESS CLINIC PLLC NPI is 1720840168. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Blue Skies Health & Wellness Clinic.

The provider's business location address is:

10198 SW VILLAGE PKWY STE 105
PORT ST LUCIE, FL
ZIP 34987-592
Phone: (772) 934-4990
Fax: (772) 934-4991

The provider's authorized official is Sabrina Lynn Vizzini .
The authorized official title is Ceo and has the following contact phone number (772) 934-4990.

The CLIA number assigned to this NPI record is 10D2308431 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/30/2024 and was last updated on 4/9/2024.

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
1207Q00000XFamily MedicineYes

What is NPI?

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

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