GRACE WELLNESS CENTER LLC (NPI# 1497371108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497371108 |
| Entity Type | Organization |
| Organization Name | GRACE WELLNESS CENTER LLC |
| Practice Address |
2504 Acorn St Ste A Fort Pierce FL 34947-4746 |
| Mailing Address |
2504 Acorn Street Ste A Fort Pierce FL 34947 |
| Practice Telephone | 7728124328 |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2020-07-27 |
| Authorized Official Name | BARBIE BRUNET (OWNER/PROVIDER) |
| Authorized Official Telephone | 7728377800 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2508 Acorn Street, Unit A and B, Fort Pierce, FL 34947 | 7728124328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457995813 | Grace Wellness Center LLC | Assisted Living Facility | 801 S Rancho Dr Ste A2, Las Vegas, NV 89106-3870 | 2019-10-29 |
| 1831518927 | Grace Wellness Center LLC | Occupational Therapy Assistant | 169 Daniel Webster Hwy, Suite 1, Meredith, NH 03253-5648 | 2014-04-16 |
| Street Address |
2504 ACORN ST STE A |
| City | FORT PIERCE |
| State | FL |
| Zip Code | 34947-4746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174965438 | Barbie Brunet | Nurse Practitioner | 2504 Acorn St Ste A, Fort Pierce, FL 34947-4746 | 2013-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982174215 | Jennifer Denise Williams | Home Health Aide | 1301 South 33rd Street, Fort Pierce, FL 34947 | 2018-11-29 |
| 1811391345 | Shaikh International Medicine, LLC | Internal Medicine | 2504 Acorn St, Suite A, Ft Pierce, FL 34947 | 2014-10-13 |
| 1851728083 | Home Sweet Home of The Treasurwe Coast, Inc. | Assisted Living Facility | 3201 Avenue Q, Fort Pierce, FL 34947 | 2013-10-02 |
| 1831488469 | Gayle Freeman Jones | In Home Supportive Care | 3414 Sloan Rd, Fort Pierce, FL 34947 | 2011-04-05 |
| 1134370927 | Chelsea Lauren Pepera | Licensed Practical Nurse | 1816 South 31st Street, Fort Pierce, FL 34947 | 2008-10-10 |
| 1790971364 | Orion Cardiovascular, IIi | Clinic/Center | 1803 S 25th Street, Ste 1, Ft. Pierce, FL 34947 | 2007-09-18 |
| 1659441236 | Diagnostic Radiology Center of The Treasure Coast | Radiology | 2011 South 25th St, Suite 106, Ft Pierce, FL 34947 | 2006-11-09 |
| 1538245758 | Oswaldo Daniel Benitez Sr. | Family Medicine | 408 South 25th Street, Fort Pierce, FL 34947 | 2006-10-31 |
| 1689786774 | Ajay Kumar Goyal | Radiology | 2011 S 25th St, Suite 106, Fort Pierce, FL 34947 | 2006-08-31 |
| 1649340258 | Ajay K Goyal Md Pa | Radiology | 2011 South 25th St, Suite 106, Ft Pierce, FL 34947 | 2006-11-09 |
| Find all providers in zip 34947 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720615693 | Emerald Medical, LLC | Clinic/Center | 117 N 5th St Ste 5, Fort Pierce, FL 34950-4266 | 2020-03-23 |
| 1710271333 | Fort Pierce Family Care, Inc. | Clinic/Center | 3851 Virginia Avenue, Fort Pierce, FL 34981 | 2011-05-31 |
| 1396365409 | Lindsey Rachelle Porth Fnp-bc Pa | Clinic/Center | 6015 Sunset Blvd, Fort Pierce, FL 34982-8608 | 2020-04-17 |
| 1407349665 | Isaiah 58 Health & Wellness Center | Clinic/Center | 494 Maple Ave, Fort Pierce, FL 34982-5949 | 2018-06-12 |
| 1619485190 | Serendipity Therapeutic Massage and Bodywork, Inc. | Clinic/Center | 800 Virginia Ave Ste 57, Fort Pierce, FL 34982-5892 | 2018-01-18 |
| 1114354032 | Jce Family Medicine LLC | Clinic/Center | 4640 S 25th St, Fort Pierce, FL 34981-5057 | 2013-10-09 |
| 1184920951 | St. Lucie County Health Access Network, Inc. Dba/ Hands | Clinic/Center | 3855 S Us Highway 1, Suite B, Fort Pierce, FL 34982-6621 | 2011-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122337 | Life Line Medical Group Inc | Clinic/Center | 12595 Sw 137th Ave Ste 206, Miami, FL 33186-4221 | 2020-10-20 |
| 1558977926 | Ohi West Medical Group, LLC | Clinic/Center | 603 7th St S Ste 350, St Petersburg, FL 33701-4732 | 2020-09-21 |
| 1205441615 | Washington Hills Primary Care | Clinic/Center | 4645 Plantation Oaks Blvd, Orange Park, FL 32065-3652 | 2020-09-11 |
| 1699380329 | Premier Health System LLC | Clinic/Center | 12970 Sw 133rd Ct Ste A, Miami, FL 33186-5806 | 2020-09-10 |
| 1093328163 | Sunmed Group LLC | Clinic/Center | 2499 Glades Rd Ste 305a, Boca Raton, FL 33431-7202 | 2020-08-28 |
| 1790398246 | Emc 360, LLC | Clinic/Center | 1008 Juliette Blvd, Mount Dora, FL 32757-6500 | 2020-08-25 |
| 1720690704 | Celena Vinent Carbonell M.d., P.a. | Clinic/Center | 1001 N Macdill Ave Ste D, Tampa, FL 33607-5152 | 2020-08-20 |
| 1548871866 | 1st Call Primary Care, LLC | Clinic/Center | 955 S Woodland Blvd Ste A1, Deland, FL 32720-7321 | 2020-08-11 |
| 1912517152 | Curos Inc | Clinic/Center | 1425 Sw 8th Ct, Ft Lauderdale, FL 33312-7291 | 2020-08-03 |
| 1104436492 | Caretinuum Health | Clinic/Center | 3208 W Lake Mary Blvd Ste 1710, Lake Mary, FL 32746-3467 | 2020-08-03 |
| Find all providers with the same taxonomy | ||||
| City | FORT PIERCE |
| Zip Code | 34947 |
Please comment or provide details below to improve the information on GRACE WELLNESS CENTER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.