Va Primary Care Clinic
Clinic/Center in Fort Pierce, FL. Organization (NPI-2).
NPI number1891775581
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1891775581
- Entity type
- Organization (NPI-2)
- Legal business name
- Va Primary Care Clinic
- Organization subpart
- No
- Enumeration date
- Jan 19, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | sw7718 | FL | Yes |
Practice location
727 N Us Highway 1Fort Pierce, FL 34950-9125
Phone 772-595-5150 · Fax 772-595-6560
Mailing address
727 N Us Highway 1Fort Pierce, FL 34950-9125
Phone 772-595-5150 · Fax 772-595-6560
Authorized official
Carole Beth Eilenberg
Social Worker
7725955150
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