Organization
ELEVATE FUNCTIONAL WELLNESS AND PRIMARY CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY L GROBSTICK APRN (OWNER/OPERATOR)
(904) 866-9551
Entity
Organization
Contact information
Practice address
868 SHORELINE CIR, PONTE VEDRA BEACH, FL 32082-2741
(904) 866-9551
Mailing address
868 SHORELINE CIR, PONTE VEDRA BEACH, FL 32082-2741
(904) 866-9551
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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