Organization
VIP HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GITANA NG (NURSE PRACTITIONER)
(772) 370-3211
Entity
Organization
Contact information
Practice address
3318 SW BLUE CT, PORT ST LUCIE, FL 34953-3559
(772) 370-3211
Mailing address
3318 SW BLUE CT, PORT ST LUCIE, FL 34953-3559
(772) 370-3211
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2776282
FL
363LA2200X
Adult Health Nurse Practitioner
9213298
FL
363LA2200X
Adult Health Nurse Practitioner
9231419
FL
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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