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Organization

PEDIATRIC INSTITUTE FOR HEALTH AND WELLNESS

Active
Other names
Adult and Pediatric Institute
Organization subpart
No

Provider details

NPI number
Authorized official
NICOLE CLARK (CEO)
(844) 550-7337
Entity
Organization

Contact information

Practice address
1002 SE MONTEREY COMMONS BLVD STE 203, STUART, FL 34996-3357
(844) 550-7337
(772) 264-9820
Mailing address
1002 SE MONTEREY COMMONS BLVD STE 203, STUART, FL 34996-3357
(844) 550-7337
(772) 264-9820

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
106S00000X
Behavior Technician
2084P0005X
Neurodevelopmental Disabilities Physician
2084P0800X
Psychiatry Physician
Primary
2084P0804X
Child & Adolescent Psychiatry Physician

Other

Enumeration date
09/17/2024
Last updated
09/16/2025
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