Organization
TREASURE COAST COMMUNITY HEALTH INC
Active
Parent organization
TREASURE COAST COMMUNITY HEALTH, INC.
Other names
Treasure Coast Community Health, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
TREASURE COAST COMMUNITY HEALTH, INC.
Authorized official
VICKI SOULE (CEO)
(772) 257-8224
Entity
Organization
Contact information
Practice address
12196 COUNTY ROAD 512, FELLSMERE, FL 32948-5463
(772) 257-8224
(772) 213-3157
Mailing address
1555 INDIAN RIVER BLVD STE B210, VERO BEACH, FL 32960-7113
(772) 257-8224
(772) 213-3157
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
PH25316
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003451200
—
FL
01
—
2129726
PK
—
Enumeration date
03/14/2011
Last updated
03/22/2022
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