| Quality Wellness | |
|
4182 Sw Baird St Port St Lucie FL 34953-3136 | |
| (561) 714-6059 | |
| Not Available |
| Full Name | Quality Wellness |
|---|---|
| Speciality | General Practice |
| Location | 4182 Sw Baird St, Port St Lucie, Florida |
| Authorized Official Name and Position | Tania Burey Mclean (OWNER) |
| Authorized Official Contact | 5617146059 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quality Wellness 4182 Sw Baird St Port St Lucie FL 34953-3136 Ph: (561) 714-6059 | Quality Wellness 4182 Sw Baird St Port St Lucie FL 34953-3136 Ph: (561) 714-6059 |
| NPI Number | 1083192819 |
|---|---|
| Provider Enumeration Date | 08/02/2018 |
| Last Update Date | 05/07/2020 |
| Certification Date | 05/07/2020 |
| Medicare PECOS PAC ID | 3678995040 |
|---|---|
| Medicare Enrollment ID | O20200612002106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083192819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Tania N Burey Mclean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760843304 PECOS PAC ID: 5890081145 Enrollment ID: I20160913000488 |
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