| Olive Tree Maternal Wellness Center Pllc | |
|
2465 Us Highway 1 S St Augustine FL 32086-6076 | |
| (770) 896-2659 | |
| Not Available |
| Full Name | Olive Tree Maternal Wellness Center Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2465 Us Highway 1 S, St Augustine, Florida |
| Authorized Official Name and Position | Nicole Mateo (OWNER) |
| Authorized Official Contact | 7708962659 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olive Tree Maternal Wellness Center Pllc 2465 Us Highway 1 S St Augustine FL 32086-6076 Ph: (770) 896-2659 | Olive Tree Maternal Wellness Center Pllc 2465 Us Highway 1 S St Augustine FL 32086-6076 Ph: (770) 896-2659 |
| NPI Number | 1659000313 |
|---|---|
| Provider Enumeration Date | 06/08/2022 |
| Last Update Date | 06/08/2022 |
| Certification Date | 06/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659000313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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