Organization
IN THE IMAGE OF CHRIST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF HERTZ (ADMINISTRATOR)
(917) 359-5549
Entity
Organization
Contact information
Practice address
3090 AVENUE G, FORT PIERCE, FL 34947-5912
(772) 461-7788
Mailing address
3090 AVENUE G, FORT PIERCE, FL 34947-5912
(772) 461-7788
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/06/2024
Last updated
08/21/2024
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