| Grace Wellness Center Llc | |
|
2504 Acorn St Ste A Fort Pierce FL 34947-4746 | |
| (772) 837-7800 | |
| (772) 837-7801 |
| Full Name | Grace Wellness Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2504 Acorn St Ste A, Fort Pierce, Florida |
| Authorized Official Name and Position | Barbie Brunet (OWNER/PROVIDER) |
| Authorized Official Contact | 7728377800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Wellness Center Llc 2504 Acorn Street Ste A Fort Pierce FL 34947 Ph: () - | Grace Wellness Center Llc 2504 Acorn St Ste A Fort Pierce FL 34947-4746 Ph: (772) 837-7800 |
| NPI Number | 1497371108 |
|---|---|
| Provider Enumeration Date | 06/18/2020 |
| Last Update Date | 03/16/2022 |
| Medicare PECOS PAC ID | 0840600458 |
|---|---|
| Medicare Enrollment ID | O20201111001028 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497371108 | NPI | - | NPPES |
| Provider Name | Barbie Brunet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174965438 PECOS PAC ID: 3577973189 Enrollment ID: I20201111001235 |
| Provider Name | Arielle C Tango |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003584699 PECOS PAC ID: 4486049111 Enrollment ID: I20220316002459 |
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