The Vain Clinic Llc | |
160 Nw Central Park Plz Ste 104 Port St Lucie FL 34986-1825 | |
(772) 871-8922 | |
Not Available |
Full Name | The Vain Clinic Llc |
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Speciality | Clinic/center |
Location | 160 Nw Central Park Plz Ste 104, Port St Lucie, Florida |
Authorized Official Name and Position | Pamela Roberts (OWNER) |
Authorized Official Contact | 7728718922 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The Vain Clinic Llc 160 Nw Central Park Plz Ste 104 Port St Lucie FL 34986-1825 Ph: (772) 871-8922 | The Vain Clinic Llc 160 Nw Central Park Plz Ste 104 Port St Lucie FL 34986-1825 Ph: (772) 871-8922 |
NPI Number | 1316229982 |
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Provider Enumeration Date | 09/09/2011 |
Last Update Date | 09/09/2011 |
Identifier | Type | State | Issuer |
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1316229982 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | ME63493 (Florida) | Primary |
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