HOLISTIC MEDICAL CENTER OF FORT PIERCE LLC (NPI# 1912180308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912180308 |
Entity Type | Organization |
Organization Name | HOLISTIC MEDICAL CENTER OF FORT PIERCE LLC |
Practice Address |
2401 Frist Blvd Suite 7 Fort Pierce FL 34950-4839 |
Practice Telephone | 7726217772 |
Mailing Telephone | 7726217772 |
Enumeration Date | 2007-12-09 |
Last Update Date | 2007-12-09 |
Authorized Official Name | MS. BARBARA H GEORGIADES (OWNER) |
Authorized Official Telephone | 7726217772 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
FL | Allopathic & Osteopathic Physicians |
Street Address |
2401 FRIST BLVD SUITE 7 |
City | FORT PIERCE |
State | FL |
Zip Code | 34950-4839 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487659603 | Jay Ira Schorr | Specialist | 2401 Frist Blvd, Ste 1, Fort Pierce, FL 34950-4800 | 2005-06-15 |
1700447737 | Allison Wrieden | Physician Assistant | 2401 Frist Blvd, Fort Pierce, FL 34950-4839 | 2019-06-20 |
1144657180 | Florida Pain & Rehabilitation Institute Inc | Physical Medicine & Rehabilitation | 2401 Frist Blvd, Suite 9, Fort Pierce, FL 34950-4839 | 2013-10-05 |
1730445834 | Anum Corporation | Family Medicine | 2401 Frist Blvd, Suite 1 & 2, Fort Pierce, FL 34950-4831 | 2012-04-03 |
1184903171 | Laura Benalcazar | Physical Therapy Assistant | 2401 Frist Blvd, Fort Pierce, FL 34950-4839 | 2011-08-09 |
1134407893 | Kristin Gates Murray | Physical Therapy Assistant | 2401 Frist Blvd, Suite#7, Fort Pierce, FL 34950-4839 | 2011-07-29 |
1306147327 | Humayun Shareef Md Pa | Family Medicine | 2401 Frist Blvd, Ste 1, Fort Pierce, FL 34950-4839 | 2010-11-08 |
1902122963 | William Raymond Holt Jr. | Physical Therapist | 2401 Frist Blvd, Suite 7, Fort Pierce, FL 34950-4839 | 2010-04-15 |
1861718835 | Melonie Durkin | Nurse Practitioner | 2401 Frist Blvd, Suite 4, Fort Pierce, FL 34950-4839 | 2010-04-15 |
1881838340 | Drahmane Kaba | Physical Medicine & Rehabilitation | 2401 Frist Blvd, Suite I, Fort Pierce, FL 34950-4839 | 2009-04-28 |
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1659853018 | New Day Counseling & Wellness, LLC | Clinic/Center | 130 S Indian River Drive Suite 202, Fort Pierce, FL 34950 | 2018-09-03 |
1548749351 | Jaber's Pharmacy, Inc. | Pharmacy | 2210 Orange Ave, Fort Pierce, FL 34950 | 2018-08-13 |
1386139699 | Pas Substance Abuse, Inc. | Substance Abuse Rehabilitation Facility | 2017 Avenue D, Fort Pierce, FL 34950 | 2018-06-28 |
1629573134 | Southeastern Dme LLC | Durable Medical Equipment & Medical Supplies | 200 S Indian River Dr Ste 300, Fort Pierce, FL 34950 | 2018-03-27 |
1962903666 | Serenity Dme LLC | Durable Medical Equipment & Medical Supplies | 111 N 2nd St Ste 101, Fort Pierce, FL 34950 | 2018-02-27 |
1417463068 | Ryan Nippes | Counselor | 1302 N Lawnwood Cr, Suite B, Fort Pierce, FL 34950 | 2017-12-19 |
1639685282 | Valencia Worrell | Counselor | 1302 N Lswnwood Cr, Suite B, Fort Pierce, FL 34950 | 2017-12-19 |
1194173153 | Angel French | Massage Therapist | 101 North Us1, Suite 117, Fort Pierce, FL 34950 | 2016-06-01 |
1780052951 | Alison Hess | Physician Assistant | 1700 S. 23rd St, Fort Pierce, FL 34950 | 2015-09-04 |
1629329784 | Dr. Rhaina A Smeds, Psyd Inc. | Psychologist | 100 Ave A, Ste 2d, Ft. Pierce, FL 34950 | 2012-09-28 |
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Taxonomy Code | 207QA0505X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adult Medicine |
Definition to come. |
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1538250386 | Eduvigis Carrera | Family Medicine | 725 N Us Highway 1, Fort Pierce, FL 34950-9125 | 2006-09-27 |
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City | FORT PIERCE |
Zip Code | 34950 |
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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.