Intentionally Well, Llc
LBN: Intentionally Well, Llc
Intentionally Well, Llc is an health care organization with primary practice located at 2100 Se Hillmoor Dr Ste 101 , Port St Lucie FL 34952-8057. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty.
Intentionally Well, Llc can be contacted via phone (772) 877-2311, or through Pinder, Theresa Anne via phone (772) 215-9946.
Contact Information
Primary practice address
2100 Se Hillmoor Dr Ste 101
Port St Lucie FL 34952-8057
Phone: (772) 877-2311
Fax: (772) 249-0638
Website:
Authorized official contact:
Name: Pinder, Theresa Anne Advanced Practice Nurse (APN)
Phone: (772) 215-9946
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME69414 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1476272 | Florida |
Profile Details
| NPI number | 1922426402 |
|---|---|
| LBN Legal business name | Intentionally Well, Llc |
| DBA Doing business as | |
| Authorized official | Pinder, Theresa Anne Advanced Practice Nurse (APN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 2nd, 2014 |
| Last updated | Jul 19th, 2024 - about 2 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922426402 | NPPES |
| Other | 1912256538 | NPI |
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