# VIP HEALTH AND WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003352881
- **Authorized official:** GITANA NG (NURSE PRACTITIONER)
- **Authorized official phone:** (772) 370-3211

## Contact information

- **Practice address:** 3318 SW BLUE CT, PORT ST LUCIE, FL 34953-3559
- **Practice address phone:** (772) 370-3211
- **Mailing address:** 3318 SW BLUE CT, PORT ST LUCIE, FL 34953-3559
- **Mailing address phone:** (772) 370-3211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 2776282 | FL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | 9213298 | FL | — |
| 363LA2200X | Adult Health Nurse Practitioner | 9231419 | FL | — |

## Other

- **Enumeration date:** 01/17/2017
- **Last updated:** 01/17/2017