# EXCEPTIONAL CARE CHOICE, LLC

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

## Provider details

- **NPI number:** 1710365051
- **Authorized official:** GUSTI LABATTE-DENEAU ARNP (NURSE PRACTITIONER)
- **Authorized official phone:** (772) 333-9319

## Contact information

- **Practice address:** 1632 SW IVY ST, PORT ST LUCIE, FL 34987-2248
- **Practice address phone:** (917) 207-4785
- **Mailing address:** 1632 SW IVY ST, PORT ST LUCIE, FL 34987-2248
- **Mailing address phone:** (917) 207-4785

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | ARNP9263802 | FL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/06/2015
- **Last updated:** 10/02/2017