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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

INTENTIONALLY WELL, LLC

Active Organization

INTENTIONALLY WELL, LLC is a Family Nurse Practitioner organization located in PORT ST LUCIE, Florida. NPI 1922426402 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · PORT ST LUCIE, FL

Registration Details

NPI Number
1922426402
Provider Type
Organization
NPI Issued
Apr 2, 2014 (12.353086682237 yrs)
Last Updated
Jul 19, 2024
Licenses
ME69414 (FL)
1476272 (FL)

Practice Information

Address
2100 SE HILLMOOR DR STE 101
PORT ST LUCIE, FL, 349528057
Browse FL providers · Browse ZIP 34952
Phone
7728772311
Fax
7722490638
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Organizations in PORT ST LUCIE, FL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.