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Organization
THE SPA AT ST LUCIE WEST
Active
Organization
THE SPA AT ST LUCIE WEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA SUE LE PERE (OWNER)
(772) 343-8772
Entity
Organization
Contact information
Practice address
312 NW BETHANY DR, PORT ST LUCIE, FL 34986-3578
(772) 343-8772
Mailing address
312 NW BETHANY DR, PORT ST LUCIE, FL 34986-3578
(772) 343-8772
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/09/2013
Last updated
09/09/2013
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