| Elevate Functional Wellness And Primary Care, Inc | |
|
868 Shoreline Cir Ponte Vedra Beach FL 32082-2741 | |
| (904) 866-9551 | |
| Not Available |
| Full Name | Elevate Functional Wellness And Primary Care, Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 868 Shoreline Cir, Ponte Vedra Beach, Florida |
| Authorized Official Name and Position | Amy L Grobstick (OWNER/OPERATOR) |
| Authorized Official Contact | 9048669551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevate Functional Wellness And Primary Care, Inc 868 Shoreline Cir Ponte Vedra Beach FL 32082-2741 Ph: (904) 866-9551 | Elevate Functional Wellness And Primary Care, Inc 868 Shoreline Cir Ponte Vedra Beach FL 32082-2741 Ph: (904) 866-9551 |
| NPI Number | 1720899032 |
|---|---|
| Provider Enumeration Date | 01/16/2025 |
| Last Update Date | 01/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720899032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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