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Organization

HOLISTIC FAMILY & PAIN MANAGEMENT

Active
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Organization

HOLISTIC FAMILY & PAIN MANAGEMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM G TYE III DOM (OWNER)
(772) 467-9083
Entity
Organization

Contact information

Practice address
1905 S 25TH ST, STE100, FORT PIERCE, FL 34947-4739
(772) 467-9083
(772) 464-6478
Mailing address
1905 S 25TH ST, STE100, FORT PIERCE, FL 34947-4739
(772) 467-9083
(772) 464-6478

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME91383
FL

Other

Enumeration date
12/15/2009
Last updated
12/15/2009
About Stedi
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