Organization
WELLXPERIENCE, LLC
Active
Other names
Lactation and Wellness Consultants of Brevard
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTY VERGARA (OWNER/MANAGER)
(321) 414-9197
Entity
Organization
Contact information
Practice address
209 FREDDIE ST, INDIAN HARBOUR BEACH, FL 32937-2723
(321) 414-9197
Mailing address
209 FREDDIE ST, INDIAN HARBOUR BEACH, FL 32937-2723
(321) 414-9197
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
171400000X
Health & Wellness Coach
Primary
—
—
174H00000X
Health Educator
—
—
174N00000X
Lactation Consultant (Non-RN)
—
—
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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