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NPI Code Detail

MEDICARE: GERIATRIC SOLUTIONS, LLC

MEDICARE: GERIATRIC SOLUTIONS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LG0600XGerontology Nurse Practitioner
2207QA0505XAdult Medicine Physician
3261Q00000XClinic/Center
4261QH0100XHealth Service Clinic/Center
5261QM2500XMedical Specialty Clinic/Center
6261QP2300XPrimary Care Clinic/Center
7207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1073839718
Entity Type Code : Organization
Provider Name (Legal Business Name) : GERIATRIC SOLUTIONS, LLC
Provider Business Mailing Address
First Line : 5804 INDIAN PINES BLVD
Second Line :
City : FORT PIERCE
State : FL
Zip : 34951-2302
Country : US
Telephone Number : 772-828-3752
Fax Number : 772-302-3518
Provider Business Practice Location Address
First Line : 5804 INDIAN PINES BLVD
Second Line :
City : FORT PIERCE
State : FL
Zip : 34951-2302
Country : US
Telephone Number : 772-828-3752
Fax Number : 772-302-3518
Authorized Official
Title or Position : GERIATRIC NURSE PRACTITIONER
Name : MRS. MADETRIC NAFAYE WOOD
Credential : ARNP, GNP-BC
Telephone Number : 850-322-1895
Provider Enumeration Date : 04/19/2010
Last Update Date : 12/02/2022

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Directions to “GERIATRIC SOLUTIONS, LLC ” Practice Location

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