Treasure Coast Neuroscience And Wellness Center Llc

LBN: Treasure Coast Neuroscience And Wellness Center Llc
Treasure Coast Neuroscience And Wellness Center Llc is an health care organization with primary practice located at 1701 S 23Rd St , Fort Pierce FL 34950-4804. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty. Treasure Coast Neuroscience And Wellness Center Llc can be contacted via phone (772) 448-8600, or through Gheith, Tariq via phone (708) 856-2338.

Contact Information

Primary practice address
1701 S 23Rd St Fort Pierce FL 34950-4804
Phone: (772) 448-8600
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gheith, Tariq Doctor of Medicine (MD)
Phone: (708) 856-2338

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME131849 Florida

Profile Details

NPI number 1093242844
LBN Legal business name Treasure Coast Neuroscience And Wellness Center Llc
DBA Doing business as
Authorized official Gheith, Tariq Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2017
Last updated Jul 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1093242844 NPPES
Florida MEDICAID 022360500

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