Organization

Treasure Coast Ketamine Wellness & Iv Nutrition Center

Infusion Therapy Clinic/Center in Vero Beach, FL(View on Map)

Legal Business Name

Treasure Coast Ketamine Wellness & Iv Nutrition Center

NPI Number

1801408208

NPI Type

Organization

Enumeration Date

08/18/2020

Specialties

(Taxonomies)

Code

261QI0500X
163WI0500X

Primary Taxonomy

Yes
No

Contact
Information

Purpose

Mailing
Location

Address

777 37TH ST STE B106
777 37TH ST STE B106

City

Vero Beach
Vero Beach

State

FL
FL

Postal Code

32960-7301
32960-7301

Country

US
US

Telephone Number

(772) 907-5917
(772) 907-5917

Authorized Official

Name

Gregory Mccracken

Title or Position

OWNER

Telephone Number

(352) 262-8439

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

info@treasurecoastketamine.com

Endpoint Description

hippa compliant email

Use

Direct

Content Type

CSV

Affiliation

N

Endpoint Location

777 37th St Ste B106Vero Beach, FL329607301US

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

Data last updated by provider on 04/28/2022

Provider Address

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