Organization
TREASURE COAST NEUROSCIENCE AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARIQ GHEITH MD (OWNER)
(708) 856-2338
Entity
Organization
Contact information
Practice address
1701 S 23RD ST, FORT PIERCE, FL 34950-4804
(772) 448-8600
Mailing address
1701 S 23RD ST, FORT PIERCE, FL 34950-4804
(772) 448-8600
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME131849
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022360500
—
FL
Enumeration date
05/11/2017
Last updated
07/21/2022
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