Organization · NPI-2

Connect Healthcare Services LLC

Clinic/Center · Port St Lucie, FL

NPI number1780250258
StatusActive
Last updated in NPPESJun 28, 2021

Details

NPI
1780250258
Entity type
Organization (NPI-2)
Legal business name
Connect Healthcare Services LLC
Organization subpart
No
Enumeration date
Jun 3, 2021
Certification date
Jun 28, 2021
Last updated
Jun 28, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

1826 Sw Penrose Ave
Port St Lucie, FL 34953-5131

Phone 772-626-8650

Mailing address

1826 Sw Penrose Ave
Port St Lucie, FL 34953-5131

Phone 772-626-8650

Authorized official

Marie R Remy
Owner
7726268650

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center providers in Port St Lucie, FL