Organization
GREEN HEALTH AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA FLYNN (CFO)
(772) 361-6778
Entity
Organization
Contact information
Practice address
160 NW CENTRAL PARK PLZ, STE. 110, PORT ST LUCIE, FL 34986-1825
(772) 361-6778
Mailing address
160 NW CENTRAL PARK PLZ, STE. 110, PORT ST LUCIE, FL 34986-1825
(772) 361-6778
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
ME82581
FL
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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