Organization · Type 2 NPI

Whole Life Functional Nutrition and Fitness, LLC

Medical Specialty Clinic/Center · Spring Lake, NJ

NPI number 1265857957 Active

Practice location

217 Morris Ave, Suite 2C
Spring Lake, NJ 07762-1336

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500X816010 (NJ)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

About NPI 1265857957

Whole Life Functional Nutrition and Fitness, LLC's National Provider Identifier is 1265857957, issued on Mar 4, 2014. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Spring Lake, NJ. The record was last updated on Mar 4, 2014.