# HOLY INFANT PRIMARY CARE AND WELLNESS CENTER

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

## Provider details

- **NPI number:** 1417633991
- **Authorized official:** DR. ANNA JOSE ELISSENDA CHANOINE MD (PHYSICIAN)
- **Authorized official phone:** (786) 368-7626

## Contact information

- **Practice address:** 2215 NEBRASKA AVE STE 3-E, FORT PIERCE, FL 34950-4867
- **Practice address phone:** (786) 368-7626
- **Mailing address:** 2215 NEBRASKA AVE STE 3-E, FORT PIERCE, FL 34950-4867
- **Mailing address phone:** (772) 801-5475
- **Mailing address fax:** (772) 801-5473

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/27/2023
- **Last updated:** 02/17/2026