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Organization

TREASURE COAST COMMUNITY HEALTH INC

Active
Parent organization
TREASURE COAST COMMUNITY HEALTH, INC.
Other names
Treasure Coast Community Health, Inc.
Organization subpart
Yes

Provider details

NPI number
Legal business name
TREASURE COAST COMMUNITY HEALTH, INC.
Authorized official
VICKI SOULE (CEO)
(772) 257-8224
Entity
Organization

Contact information

Practice address
1545 9TH ST SW, VERO BEACH, FL 32962-4312
(772) 257-8224
(772) 213-3157
Mailing address
1555 INDIAN RIVER BLVD STE B210, VERO BEACH, FL 32960-7113
(772) 257-8224
(772) 213-3157

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0002X
Clinic Pharmacy
Primary
PH25692
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004238900
FL
01
2132192
PK
Enumeration date
09/28/2011
Last updated
03/22/2022
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