Organization
VA PRIMARY CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLE BETH EILENBERG LCSW (SOCIAL WORKER)
(772) 595-5150
Entity
Organization
Contact information
Practice address
727 N US HIGHWAY 1, FORT PIERCE, FL 34950-9125
(772) 595-5150
(772) 595-6560
Mailing address
727 N US HIGHWAY 1, FORT PIERCE, FL 34950-9125
(772) 595-5150
(772) 595-6560
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
SW7718
FL
Other
Enumeration date
01/19/2006
Last updated
08/22/2020
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