| Holistic Family & Pain Management | |
|
1905 S 25th St Ste100 Fort Pierce FL 34947-4739 | |
| (772) 467-9083 | |
| (772) 464-6478 |
| Full Name | Holistic Family & Pain Management |
|---|---|
| Speciality | Family Medicine |
| Location | 1905 S 25th St, Fort Pierce, Florida |
| Authorized Official Name and Position | William G Tye (OWNER) |
| Authorized Official Contact | 7724679083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Family & Pain Management 1905 S 25th St Ste100 Fort Pierce FL 34947-4739 Ph: (772) 467-9083 | Holistic Family & Pain Management 1905 S 25th St Ste100 Fort Pierce FL 34947-4739 Ph: (772) 467-9083 |
| NPI Number | 1003145301 |
|---|---|
| Provider Enumeration Date | 12/15/2009 |
| Last Update Date | 12/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003145301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME91383 (Florida) | Primary |
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