New Horizons Of The Treasure Coast, INC
General Practice in Fort Pierce, FL. Organization (NPI-2).
NPI number1447922075
StatusActive
Last updated in NPPESOct 1, 2021
Details
- NPI
- 1447922075
- Entity type
- Organization (NPI-2)
- Legal business name
- New Horizons Of The Treasure Coast, INC
- Organization subpart
- No
- Enumeration date
- Oct 1, 2021
- Certification date
- Sep 16, 2021
- Last updated
- Oct 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
Practice location
4500 W Midway RdFort Pierce, FL 34981-4823
Phone 772-468-5600
Mailing address
4500 W Midway RdFort Pierce, FL 34981-4823
Phone 772-468-5600
Authorized official
Janice Johnson
Credentialing
7726728320
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