Organization
A LIST WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GITANA ODETTE NG (OWNER)
(772) 323-0040
Entity
Organization
Contact information
Practice address
600 SW DARWIN BLVD STE 206, PORT ST LUCIE, FL 34953-3365
(772) 323-0040
(772) 236-0515
Mailing address
600 SW DARWIN BLVD STE 206, PORT ST LUCIE, FL 34953-3365
(772) 323-0040
(772) 236-0515
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/07/2026
Last updated
01/07/2026
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