Va Primary Care Clinic

NPI 1891775581 - Clinic/Center - 261Q00000X

NPI Details
NPI 1891775581
Enumeration Date 01/19/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CAROLE BETH CAROLE
Position SOCIAL WORKER
Phone (772) 595-5150
Fax (772) 595-6560
Practice Location
727 N US HIGHWAY 1
FORT PIERCE FL, 34950-9125, US
Phone (772) 595-5150
Fax (772) 595-6560
Business Location
727 N US HIGHWAY 1
FORT PIERCE FL, 34950-9125, US
Phone (772) 595-5150
Fax (772) 595-6560
Toxanomy
Taxonomy Code 261Q00000X
License State Florida
License Number SW7718
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According to our database, Va Primary Care Clinic NPI is 1891775581, taxonomy code is 261Q00000X and license number is SW7718, license state is located at Florida. Va Primary Care Clinic physically located at 727 N Us Highway 1, Fort Pierce FL, 34950-9125. NPI Number 1033115704 has the healthcare provider type.

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1891775581 NPI number is provided on an as is basis without warranty of any kind. 1891775581 is maintained by the National Plan & Provider Enumeration System. The contents of Va Primary Care Clinic are for informational purposes only.