Renacer Wellness Community Llc | |
887 E Prima Vista Blvd Port St Lucie FL 34952-2342 | |
(786) 930-0548 | |
Not Available |
Full Name | Renacer Wellness Community Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 887 E Prima Vista Blvd, Port St Lucie, Florida |
Authorized Official Name and Position | Nerlson Medina Cancio (OWNER) |
Authorized Official Contact | 7869300548 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Renacer Wellness Community Llc 887 E Prima Vista Blvd Port St Lucie FL 34952-2342 Ph: (786) 930-0548 | Renacer Wellness Community Llc 887 E Prima Vista Blvd Port St Lucie FL 34952-2342 Ph: (786) 930-0548 |
NPI Number | 1205617800 |
---|---|
Provider Enumeration Date | 10/10/2023 |
Last Update Date | 10/10/2023 |
Certification Date | 10/10/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205617800 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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