Healthcare Provider Details

I. General information

NPI: 1952603250
Provider Name (Legal Business Name): TRUE HEALTH AND WELLNESS CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2010
Last Update Date: 07/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7552 S US HIGHWAY 1
PORT SAINT LUCIE FL
34952-1450
US

IV. Provider business mailing address

7552 S US HIGHWAY 1
PORT SAINT LUCIE FL
34952-1450
US

V. Phone/Fax

Practice location:
  • Phone: 772-344-2733
  • Fax: 772-344-2766
Mailing address:
  • Phone: 772-344-2733
  • Fax: 772-344-2766

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. EMILY MARIE ADKINS
Title or Position: OWNER
Credential:
Phone: 772-344-2733