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ELITE HEALTH AND WELLNESS CENTER LLC NPI 1780168906


NPI Information

NPI: 1780168906
Provider Name: ELITE HEALTH AND WELLNESS CENTER LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
264 NW PEACOCK BLVD STE 103
PORT SAINT LUCIE, FL
ZIP 34986
Phone: (772) 777-8233
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ELITE HEALTH AND WELLNESS CENTER LLC is a primary care clinic center in Port Saint Lucie, FL. ELITE HEALTH AND WELLNESS CENTER LLC NPI is 1780168906. The provider is registered as an organization entity type.

The provider's business location address is:

264 NW PEACOCK BLVD STE 103
PORT SAINT LUCIE, FL
ZIP 34986-272
Phone: (772) 777-8233
Fax: (772) 673-7710

The provider's authorized official is Lois Cassle .
The authorized official title is Arnp and has the following contact phone number (772) 777-8233.

The enumeration date for this NPI number is 9/24/2018 and was last updated on 9/24/2018.


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
1261QP2300XClinic/CenterPrimary CareYes

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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