Childrens Home Society Treasure Coast | |
590 Nw Peacock Blvd Suite 9 Port St Lucie FL 34986-2213 | |
(772) 344-4020 | |
(772) 344-4038 |
Full Name | Childrens Home Society Treasure Coast |
---|---|
Speciality | Community/behavioral Health |
Location | 590 Nw Peacock Blvd, Port St Lucie, Florida |
Authorized Official Name and Position | David A Bundy (PRESIDENT) |
Authorized Official Contact | 3213973000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Childrens Home Society Treasure Coast 1485 S Semoran Blvd Suite 1448 Winter Park FL 32792-5533 Ph: (321) 397-3000 | Childrens Home Society Treasure Coast 590 Nw Peacock Blvd Suite 9 Port St Lucie FL 34986-2213 Ph: (772) 344-4020 |
NPI Number | 1194012252 |
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Provider Enumeration Date | 07/08/2011 |
Last Update Date | 07/08/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194012252 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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