Organization

Wholistic Medicine Clinic Of Stuart, Llc

Clinic/Center in Stuart, FL(View on Map)

Legal Business Name

Wholistic Medicine Clinic Of Stuart, Llc

NPI Number

1003972738

NPI Type

Organization

Enumeration Date

12/28/2006

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

55 SE OSCEOLA ST
55 SE OSCEOLA ST

City

Stuart
Stuart

State

FL
FL

Postal Code

34994-2149
34994-2149

Country

US
US

Telephone Number

(772) 288-3668
(772) 288-3668

Authorized Official

Name

Mr. William Tye

Title or Position

MANAGING PARTNER

Telephone Number

(772) 287-2677

Identifiers

Identifier

24574

Identifier State

FL

Identifier Issuer

BLUECROSS BLUESHIELD

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/22/2020

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