Organization · Type 2 NPI
Elite Health and Wellness Center LLC
Primary Care Clinic/Center · Port St. Lucie, FL
NPI number
1780168906
Active
Practice location
264 NW Peacock Blvd Ste 103
Port St. Lucie, FL 34986-2272
Fax (772) 673-7710
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
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About NPI 1780168906
Elite Health and Wellness Center LLC's National Provider Identifier is 1780168906, issued on Sep 24, 2018. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Port St. Lucie, FL. The record was last updated on Sep 24, 2018.