Organization
WHOLE FAMILY HEALTH CENTER, INC.
Active
Other names
AIDS Research and Treatment Center of the Treasure Coast
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE ANDRESS (CHIEF EXECUTIVE OFFICER)
(772) 925-8200
Entity
Organization
Contact information
Practice address
725 N US HIGHWAY 1, FORT PIERCE, FL 34950-9125
(772) 925-8402
(772) 925-8403
Mailing address
827 18TH ST, VERO BEACH, FL 32960-6481
(772) 925-8200
(772) 925-8199
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH30417
FL
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
605787
HEALTHCARE CLINIC ESTABLISHMENT
FL
Enumeration date
05/27/2014
Last updated
11/25/2024
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