Organization · NPI-2

Geriatric Solutions, LLC

Internal Medicine · Fort Pierce, FL

NPI number1073839718

StatusActive

Last updated in NPPESDec 2, 2022

Details

NPI: 1073839718
Entity type: Organization (NPI-2)
Legal business name: Geriatric Solutions, LLC
Organization subpart: No
Enumeration date: Apr 19, 2010
Certification date: Dec 2, 2022
Last updated: Dec 2, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	–	–	Yes
363LG0600X	Nurse Practitioner, Gerontology	–	–
207QA0505X	Family Medicine, Adult Medicine	–	–
261Q00000X	Clinic/Center	–	–
261QH0100X	Clinic/Center, Health Services	–	–
261QM2500X	Clinic/Center, Medical Specialty	–	–
261QP2300X	Clinic/Center, Primary Care	–	–

Practice location

5804 Indian Pines Blvd
Fort Pierce, FL 34951-2302

Phone 772-828-3752 · Fax 772-302-3518

Mailing address

5804 Indian Pines Blvd
Fort Pierce, FL 34951-2302

Phone 772-828-3752 · Fax 772-302-3518

Authorized official

Madetric Nafaye Wood
Geriatric Nurse Practitioner
8503221895

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