| Isaiah 58 Health & Wellness Center | |
|
494 Maple Ave Fort Pierce FL 34982-5949 | |
| (772) 267-0516 | |
| Not Available |
| Full Name | Isaiah 58 Health & Wellness Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 494 Maple Ave, Fort Pierce, Florida |
| Authorized Official Name and Position | Eva Bryant (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 7722670516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Isaiah 58 Health & Wellness Center Po Box 12144 Fort Pierce FL 34979-2144 Ph: () - | Isaiah 58 Health & Wellness Center 494 Maple Ave Fort Pierce FL 34982-5949 Ph: (772) 267-0516 |
| NPI Number | 1407349665 |
|---|---|
| Provider Enumeration Date | 06/12/2018 |
| Last Update Date | 12/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407349665 | NPI | - | NPPES |
| 1717997 | Other | FL | AMERICAN ASSOCIATION OF NURSE PRACTITIONER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ARNP9338409 (Florida) | Primary |
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