Organization
HOLISTIC GYNECOLOGY OF THE TREASURECOAST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYLAINE RIOBE HERON MD (OWNER/DIRECTOR)
(772) 266-4258
Entity
Organization
Contact information
Practice address
2100 SE OCEAN BLVD, STE 200-B, STUART, FL 34996-3332
(772) 266-4258
(772) 219-8111
Mailing address
2100 SE OCEAN BLVD, STE 200-B, STUART, FL 34996-3332
(772) 266-4258
(772) 219-8111
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME82630
FL
Other
Enumeration date
03/06/2011
Last updated
04/02/2012
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