| Renew Wellness And Recovery Llc | |
|
1814 Ne Jensen Beach Blvd Jensen Beach FL 34957-7234 | |
| (772) 208-8600 | |
| Not Available |
| Full Name | Renew Wellness And Recovery Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1814 Ne Jensen Beach Blvd, Jensen Beach, Florida |
| Authorized Official Name and Position | Tinya C Clements (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 7723029769 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Wellness And Recovery Llc 1814 Ne Jensen Beach Blvd Jensen Beach FL 34957-7234 Ph: (772) 208-8600 | Renew Wellness And Recovery Llc 1814 Ne Jensen Beach Blvd Jensen Beach FL 34957-7234 Ph: (772) 208-8600 |
| NPI Number | 1265285530 |
|---|---|
| Provider Enumeration Date | 04/08/2024 |
| Last Update Date | 04/08/2024 |
| Medicare PECOS PAC ID | 6204378938 |
|---|---|
| Medicare Enrollment ID | O20240610000249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265285530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Steven Trisker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124514534 PECOS PAC ID: 0941552913 Enrollment ID: I20200930000203 |
| Provider Name | Tinya C Clements |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043992514 PECOS PAC ID: 6901250828 Enrollment ID: I20230927000426 |
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