| Inner Balance Family Medicine, Llc | |
|
1400 Se Goldtree Drive Suite 207 Port Saint Lucie FL 34952-7583 | |
| (772) 323-0040 | |
| (772) 237-5849 |
| Full Name | Inner Balance Family Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1400 Se Goldtree Drive, Port Saint Lucie, Florida |
| Authorized Official Name and Position | Dionne Layne Hinds (OWNER) |
| Authorized Official Contact | 7722490636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Balance Family Medicine, Llc 1400 Se Goldtree Drive Suite 207 Port Saint Lucie FL 34952-7583 Ph: (772) 323-0040 | Inner Balance Family Medicine, Llc 1400 Se Goldtree Drive Suite 207 Port Saint Lucie FL 34952-7583 Ph: (772) 323-0040 |
| NPI Number | 1659932655 |
|---|---|
| Provider Enumeration Date | 06/21/2019 |
| Last Update Date | 07/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659932655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
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