Organization
EMERALD WELLNESS & AESTHETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDINA JACKSON APRN (MANAGING MEMBER)
(772) 304-0460
Entity
Organization
Contact information
Practice address
2349 SW INDEPENDENCE RD, PORT SAINT LUCIE, FL 34953-2438
(772) 304-0460
Mailing address
2349 SW INDEPENDENCE RD, PORT SAINT LUCIE, FL 34953-2438
(772) 304-0460
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/01/2026
Last updated
08/01/2026
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