# THE GITTENS CLINIC INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1356856017
- **Authorized official:** CARL GITTENS (PRESIDENT)
- **Authorized official phone:** (772) 215-5905

## Contact information

- **Practice address:** 611 SW FEDERAL HWY STE E, STUART, FL 34994-2925
- **Practice address phone:** (772) 288-4111
- **Practice address fax:** (772) 905-3336
- **Mailing address:** 611 SW FEDERAL HWY STE E, STUART, FL 34994-2925
- **Mailing address phone:** (772) 288-4111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/04/2017
- **Last updated:** 10/27/2021