| Wholistic Medicine Clinic Of Stuart, Llc | |
|
55 Se Osceola St Suite 102 Stuart FL 34994-2149 | |
| (772) 288-3668 | |
| Not Available |
| Full Name | Wholistic Medicine Clinic Of Stuart, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 55 Se Osceola St, Stuart, Florida |
| Authorized Official Name and Position | William G Tye (MANAGING PARTNER) |
| Authorized Official Contact | 7722872677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wholistic Medicine Clinic Of Stuart, Llc 55 Se Osceola St Suite 102 Stuart FL 34994-2149 Ph: (772) 288-3668 | Wholistic Medicine Clinic Of Stuart, Llc 55 Se Osceola St Suite 102 Stuart FL 34994-2149 Ph: (772) 288-3668 |
| NPI Number | 1003972738 |
|---|---|
| Provider Enumeration Date | 12/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003972738 | NPI | - | NPPES |
| 24574 | Other | FL | BLUECROSS BLUESHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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