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Organization
FAMILY MEDICAL CLINIC AND WELLNESS LLC
Active
Organization
FAMILY MEDICAL CLINIC AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESA A KOWALCZYK VITOUS DNP, APRN, FNP-C (OWNER)
(561) 714-7432
Entity
Organization
Contact information
Practice address
207 NW SAINT JAMES DR, PORT SAINT LUCIE, FL 34983-1291
(772) 710-8583
Mailing address
207 NW SAINT JAMES DR, PORT SAINT LUCIE, FL 34983-1291
(772) 710-8583
(772) 204-2230
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
11/11/2025
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