| Forge Wellness | |
|
169 Tequesta Drive Unit 12e Tequesta FL 33469-2783 | |
| (561) 600-0194 | |
| (954) 301-3742 |
| Full Name | Forge Wellness |
|---|---|
| Speciality | Family Medicine |
| Location | 169 Tequesta Drive Unit 12e, Tequesta, Florida |
| Authorized Official Name and Position | Lawrence Nolan (OWNER) |
| Authorized Official Contact | 5178816570 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Forge Wellness 169 Tequesta Drive Unit 12e Tequesta FL 33469-2783 Ph: (561) 600-0194 | Forge Wellness 169 Tequesta Drive Unit 12e Tequesta FL 33469-2783 Ph: (561) 600-0194 |
| NPI Number | 1801672134 |
|---|---|
| Provider Enumeration Date | 09/04/2023 |
| Last Update Date | 09/04/2023 |
| Medicare PECOS PAC ID | 6103271903 |
|---|---|
| Medicare Enrollment ID | O20231014000248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801672134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Lawrence P Nolan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598172413 PECOS PAC ID: 6002186368 Enrollment ID: I20170825000867 |
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