| Whyte's Wellness Consults, Pllc | |
|
1209 Admiralty Blvd Rockledge FL 32955-5201 | |
| (321) 305-6968 | |
| (321) 305-6941 |
| Full Name | Whyte's Wellness Consults, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1209 Admiralty Blvd, Rockledge, Florida |
| Authorized Official Name and Position | Authrine Whyte (CEO) |
| Authorized Official Contact | 3215871670 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Whyte's Wellness Consults, Pllc 1209 Admiralty Blvd Rockledge FL 32955-5201 Ph: (321) 305-6968 | Whyte's Wellness Consults, Pllc 1209 Admiralty Blvd Rockledge FL 32955-5201 Ph: (321) 305-6968 |
| NPI Number | 1164003810 |
|---|---|
| Provider Enumeration Date | 04/15/2021 |
| Last Update Date | 04/15/2021 |
| Medicare PECOS PAC ID | 7517369721 |
|---|---|
| Medicare Enrollment ID | O20210712000486 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164003810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Authrine Chevanne Whyte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245299098 PECOS PAC ID: 5890722318 Enrollment ID: I20050726000679 |
| Provider Name | Rachel E Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497726319 PECOS PAC ID: 3870654551 Enrollment ID: I20081213000043 |
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