The Gittens Clinic INC
Clinic/Center, Multi-Specialty in Stuart, FL. Organization (NPI-2).
NPI number1356856017
StatusActive
Last updated in NPPESOct 27, 2021
Details
- NPI
- 1356856017
- Entity type
- Organization (NPI-2)
- Legal business name
- The Gittens Clinic INC
- Organization subpart
- No
- Enumeration date
- Dec 4, 2017
- Certification date
- Oct 27, 2021
- Last updated
- Oct 27, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
Practice location
611 Sw Federal Hwy Ste EStuart, FL 34994-2925
Phone 772-288-4111 · Fax 772-905-3336
Mailing address
611 Sw Federal Hwy Ste EStuart, FL 34994-2925
Phone 772-288-4111
Authorized official
Carl Gittens
President
7722155905
Is something wrong?
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