| NPI | 1215986872 |
|---|---|
| Other Name | PORT ST. LUCIE CHILDREN'S HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | WILHELMINA LEWIS President & CEO 561-844-9443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 208000000X Pediatrics |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| 367A00000X Advanced Practice Midwife | |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-06-12 |