Treasure Coast Ketamine Wellness & Iv Nutrition Center

LBN: Treasure Coast Ketamine Wellness & Iv Nutrition Center
Treasure Coast Ketamine Wellness & Iv Nutrition Center is an health care organization with primary practice located at 777 37Th St Ste B106 , Vero Beach FL 32960-7301. The organization recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Infusion Therapy, Ambulatory Health Care Facilities / Infusion Therapy. Ambulatory Health Care Facilities / Infusion Therapy is the primary health care specialty. Treasure Coast Ketamine Wellness & Iv Nutrition Center can be contacted via phone (772) 907-5917, or through Mccracken, Gregory Jarrell via phone (352) 262-8439.

Contact Information

Primary practice address
777 37Th St Ste B106 Vero Beach FL 32960-7301
Phone: (772) 907-5917
Fax: (772) 907-5917
Website:
Map and Directions
Authorized official contact:
Name: Mccracken, Gregory Jarrell Certified Registered Nurse Anesthetist (CRNA)
Phone: (352) 262-8439

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Infusion Therapy 163WI0500X
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X

Profile Details

NPI number 1801408208
LBN Legal business name Treasure Coast Ketamine Wellness & Iv Nutrition Center
DBA Doing business as
Authorized official Mccracken, Gregory Jarrell Certified Registered Nurse Anesthetist (CRNA)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2020
Last updated Apr 28th, 2022 - about 2 years 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.

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