NPI 1316250764
Patriot Health and Wellness
Practice location
- Address
- 1701 SE Hillmoor Dr Suite A-1, Port St Lucie, FL 34952-7552
- Phone
- (772) 237-1313
- Fax
- (877) 637-7509
Authorised official
- Name
- Arash Mossafa
- Title
- Onwer
- Phone
- (772) 237-1313
Registered specialties
Physical Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1316250764
- Entity type
- Organization
- NPI issued
- 14 Jul 2010
- Record last updated
- 14 Jul 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.