Organization
GAIA FUNCTIONAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA OLAVARRIA FNP-C (OWNER/OPERATOR)
(772) 356-0620
Entity
Organization
Contact information
Practice address
701 21ST ST STE 101, VERO BEACH, FL 32960-5419
(772) 356-0620
Mailing address
701 21ST ST STE 101, VERO BEACH, FL 32960-5419
(772) 356-0620
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
Primary
—
—
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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