| Renacer Wellness Community Llc | |
|
887 E Prima Vista Blvd Port St Lucie FL 34952-2342 | |
| (786) 930-0548 | |
| Not Available |
| Full Name | Renacer Wellness Community Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 887 E Prima Vista Blvd, Port St Lucie, Florida |
| Authorized Official Name and Position | Nerlson Medina Cancio (OWNER) |
| Authorized Official Contact | 7869300548 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renacer Wellness Community Llc 887 E Prima Vista Blvd Port St Lucie FL 34952-2342 Ph: (786) 930-0548 | Renacer Wellness Community Llc 887 E Prima Vista Blvd Port St Lucie FL 34952-2342 Ph: (786) 930-0548 |
| NPI Number | 1205617800 |
|---|---|
| Provider Enumeration Date | 10/10/2023 |
| Last Update Date | 10/10/2023 |
| Certification Date | 10/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205617800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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