Wholistic Medicine Clinic, Llc

LBN: Wholistic Medicine Clinic, Llc
Wholistic Medicine Clinic, Llc is an health care organization with primary practice located at 2401 Frist Blvd Suite 7, Fort Pierce FL 34950-4839. 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 Clinic, Llc can be contacted via phone (772) 467-9043, or through Tye, William G via phone (772) 287-2677.

Contact Information

Primary practice address
2401 Frist Blvd Suite 7 Fort Pierce FL 34950-4839
Phone: (772) 467-9043
Fax: (772) 464-6478
Website:
Map and Directions
Authorized official contact:
Name: Tye, William G
Phone: (772) 287-2677

Health care specialties

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

Profile Details

NPI number 1750447405
LBN Legal business name Wholistic Medicine Clinic, Llc
DBA Doing business as
Authorized official Tye, William G
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1750447405 NPPES
Florida Other 24565 BLUECROSS BLUE SHIELD

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