Organization
GRACE WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBIE BRUNET ARNP (OWNER/PROVIDER)
(772) 837-7800
Entity
Organization
Contact information
Practice address
2504 ACORN ST STE A, FORT PIERCE, FL 34947-4746
(772) 837-7800
(772) 837-7801
Mailing address
2504 ACORN STREET, STE A, FORT PIERCE, FL 34947
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
06/18/2020
Last updated
03/16/2022
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