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Organization
PORT ST LUCIE MEDICAL WELLNESS
Active
Organization
PORT ST LUCIE MEDICAL WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARSHA SETTY MD (MEDICAL DIRECTOR)
(813) 629-6203
Entity
Organization
Contact information
Practice address
702 SW PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34953-2617
(772) 207-0080
Mailing address
702 SW PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34953-2617
(772) 207-0080
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
NULL
207N00000X
Dermatology Physician
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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