Organization · Type 2 NPI

The Wholistic Lotus LLC

Clinic/Center · Ponte Vedra, FL

NPI number 1679490692 Active

Practice location

270 Parkbluff Cir
Ponte Vedra, FL 32081-0960

Mailing address

101 Marketside Ave Ste 404-311
Ponte Vedra, FL 32081-1541

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1679490692

The Wholistic Lotus LLC's National Provider Identifier is 1679490692, issued on Jul 1, 2026. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Ponte Vedra, FL. The record was last updated on Jul 1, 2026.