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Organization
UPLIFTHRT
Active
Organization
UPLIFTHRT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MARTELLO MA (MA)
(772) 775-2880
Entity
Organization
Contact information
Practice address
7035 GULLOTTI PL, PORT ST LUCIE, FL 34952-2905
(772) 775-2880
Mailing address
7035 GULLOTTI PL, PORT ST LUCIE, FL 34952-2905
(772) 775-2880
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/29/2026
Last updated
07/29/2026
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