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EQUILIBRIUM WELLNESS CARE LLC NPI 1851169510


NPI Information

NPI: 1851169510
Provider Name: EQUILIBRIUM WELLNESS CARE, LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
850 S 21ST ST STE B
FORT PIERCE, FL
ZIP 34950
Phone: (772) 448-4456
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EQUILIBRIUM WELLNESS CARE, LLC is a clinic center in Fort Pierce, 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). EQUILIBRIUM WELLNESS CARE, LLC NPI is 1851169510. The provider is registered as an organization entity type.

The provider's business location address is:

850 S 21ST ST STE B
FORT PIERCE, FL
ZIP 34950-829
Phone: (772) 448-4456
Fax: (772) 448-4674

The provider's authorized official is Lesly Estriplet .
The authorized official title is Owner and has the following contact phone number (772) 448-4456.

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


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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