Organization · Type 2 NPI

Intentionally Well, LLC

Family Nurse Practitioner · Port St. Lucie, FL

NPI number 1922426402 Active

Practice location

2100 SE Hillmoor Dr Ste 101
Port St. Lucie, FL 34952-8057

Fax (772) 249-0638

Other practice locations

  • 3716 SW Moore St, Palm City, FL 34990-5647 · (772) 215-9946

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XME69414 (FL)
Family Nurse Practitioner Primary 363LF0000X1476272 (FL)

Family Nurse Practitioner: Definition to come...

4 other providers at this address

Other family nurse practitioner providers in Port St. Lucie

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About NPI 1922426402

Intentionally Well, LLC's National Provider Identifier is 1922426402, issued on Apr 2, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Port St. Lucie, FL. The record was last updated on Jul 19, 2024.