Organization
PORT ST LUCIE MEDICAL WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARSHA SETTY MD (MEDICAL DIRECTOR)
(813) 629-6203
Entity
Organization
Contact information
Practice address
702 SW PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34953-2617
(772) 207-0080
Mailing address
702 SW PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34953-2617
(772) 207-0080
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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