Enhanced Integrative Health P.A.
Physical Medicine & Rehabilitation in Fort Pierce, FL. Organization (NPI-2).
NPI number1487226841
StatusActive
Last updated in NPPESJul 15, 2021
Details
- NPI
- 1487226841
- Entity type
- Organization (NPI-2)
- Legal business name
- Enhanced Integrative Health P.A.
- Organization subpart
- No
- Enumeration date
- Jul 15, 2021
- Certification date
- Jul 15, 2021
- Last updated
- Jul 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | – | – | Yes |
Practice location
703 S 29th StFort Pierce, FL 34947-3625
Phone 772-466-3322
Mailing address
7655 14th LnVero Beach, FL 32966-1220
Phone 213-327-4639
Other practice locations
1805 27th St
Portsmouth, OH 45662-2640
Portsmouth, OH 45662-2640
Phone 740-356-5000
Authorized official
Sharareh Izadi
Ceo And Founder
2133274639
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