Organization
LIVE WELL INTEGRATIVE HEALTH AND SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANIELLE ELIZABETH STEPHENS ARNP (OWNER)
(772) 216-3546
Entity
Organization
Contact information
Practice address
7683 WYLDWOOD WAY, PORT SAINT LUCIE, FL 34986-3008
(772) 216-3546
Mailing address
7683 WYLDWOOD WAY, PORT SAINT LUCIE, FL 34986-3008
(772) 216-3546
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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