MEDICARE: WHOLE FAMILY HEALTH CENTER, INC.

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
1	208D00000X	General Practice Physician
2	261QF0400X	Federally Qualified Health Center (FQHC)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578612883
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHOLE FAMILY HEALTH CENTER, INC.

Provider Business Mailing Address
First Line	:	827 18TH ST
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-6481
Country	:	US
Telephone Number	:	772-925-8190
Fax Number	:	772-925-8199

Provider Business Practice Location Address
First Line	:	725 N US HIGHWAY 1
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34950
Country	:	US
Telephone Number	:	772-468-9900
Fax Number	:	772-468-2364

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MARIE ANDRESS
Credential	:
Telephone Number	:	772-925-8200

Provider Enumeration Date	:	01/09/2007
Last Update Date	:	03/02/2026

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Directions to “WHOLE FAMILY HEALTH CENTER, INC. ” Practice Location

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