Wholistic Medicine Clin

LBN: Wholistic Medicine Clin
Wholistic Medicine Clin is an health care organization with primary practice located at 1405 Se Goldtree Dr Suite D, Port St Lucie FL 34952-7563. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Wholistic Medicine Clin can be contacted via phone (772) 335-5022, or through Tye, William G via phone (772) 335-5022.

Contact Information

Primary practice address
1405 Se Goldtree Dr Suite D Port St Lucie FL 34952-7563
Phone: (772) 335-5022
Fax: (772) 335-5029
Website:
Map and Directions
Authorized official contact:
Name: Tye, William G
Phone: (772) 335-5022

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1619033362
LBN Legal business name Wholistic Medicine Clin
DBA Doing business as
Authorized official Tye, William G
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2006
Last updated Sep 8th, 2008 - about 16 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 1619033362 NPPES
Florida Other 94821 BLUECROSS BLUE SHIELD

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