| Outpatient Health Services Llc | |
|
1405 Se Goldtree Dr Ste D Port St Lucie FL 34952-7563 | |
| (561) 815-2649 | |
| Not Available |
| Full Name | Outpatient Health Services Llc |
|---|---|
| Speciality | Family Medicine - Addiction Medicine |
| Location | 1405 Se Goldtree Dr Ste D, Port St Lucie, Florida |
| Authorized Official Name and Position | Annamarie Lopinto (CONTROLLER) |
| Authorized Official Contact | 5618152649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Outpatient Health Services Llc 1405 Se Goldtree Dr Ste D Port St Lucie FL 34952-7563 Ph: (561) 815-2649 | Outpatient Health Services Llc 1405 Se Goldtree Dr Ste D Port St Lucie FL 34952-7563 Ph: (561) 815-2649 |
| NPI Number | 1356884712 |
|---|---|
| Provider Enumeration Date | 12/02/2016 |
| Last Update Date | 05/08/2024 |
| Certification Date | 05/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356884712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 207QA0401X | Family Medicine - Addiction Medicine | (* (Not Available)) | Primary |
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