| Treasure Coast Neuroscience And Wellness Center Llc | |
|
1701 S 23rd St Fort Pierce FL 34950-4804 | |
| (772) 448-8600 | |
| Not Available |
| Full Name | Treasure Coast Neuroscience And Wellness Center Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1701 S 23rd St, Fort Pierce, Florida |
| Authorized Official Name and Position | Tariq Gheith (OWNER) |
| Authorized Official Contact | 7088562338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Treasure Coast Neuroscience And Wellness Center Llc 1701 S 23rd St Fort Pierce FL 34950-4804 Ph: (772) 448-8600 | Treasure Coast Neuroscience And Wellness Center Llc 1701 S 23rd St Fort Pierce FL 34950-4804 Ph: (772) 448-8600 |
| NPI Number | 1093242844 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093242844 | NPI | - | NPPES |
| 022360500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME131849 (Florida) | Primary |
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