| Mho- St. Lucie County- Fort Pierce | |
|
2200 Virginia Ave Fort Pierce FL 34982-5631 | |
| (772) 462-2723 | |
| Not Available |
| Full Name | Mho- St. Lucie County- Fort Pierce |
|---|---|
| Speciality | Family Medicine |
| Location | 2200 Virginia Ave, Fort Pierce, Florida |
| Authorized Official Name and Position | Jason Tomlinson (VP OPERATIONS) |
| Authorized Official Contact | 4074706439 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mho- St. Lucie County- Fort Pierce 2710 Rew Cir Ste 200 Ocoee FL 34761-2967 Ph: (407) 654-5414 | Mho- St. Lucie County- Fort Pierce 2200 Virginia Ave Fort Pierce FL 34982-5631 Ph: (772) 462-2723 |
| NPI Number | 1710688866 |
|---|---|
| Provider Enumeration Date | 03/15/2023 |
| Last Update Date | 03/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710688866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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