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WELLNESS360 PRIMARY CARE
NPI 1154172773
Internal Medicine in Port Saint Lucie, FL

Active since April 01, 2024
1700 SE HILLMOOR DR STE 305, PORT SAINT LUCIE, FL 34952(772) 292-8188 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wellness360 Primary Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WELLNESS360 PRIMARY CARE (NPI 1154172773) is a healthcare organization registered as an internal medicine in Port Saint Lucie, Florida and active in the NPI registry since April 2024. The organization lists Yohanna Deno, Owner, as its authorized official.

NPPES Registry Identity

NPI1154172773
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWELLNESS360 PRIMARY CARE
Location Address1700 SE HILLMOOR DR STE 305Port Saint Lucie, FL 34952-7536
Mailing Address1700 Se Hillmoor Dr Ste 305Port Saint Lucie, FL 34952-7536
Phone(772) 292-8188
Organization SubpartNo
Authorized OfficialYohanna DenoOwner · (764) 670-2685
Enumeration DateApril 1, 2024
NPPES CertifiedMarch 31, 2024
✔ NPI 1154172773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1700 SE HILLMOOR DR STE 305, Port Saint Lucie, FL 34952
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2309099

Wellness360 Primary Care · Port Saint Lucie, FL
Expired · Aug 8, 2026
CLIA Number10D2309099
Laboratory TypePhysician Office
Certificate Effective DateAugust 9, 2024
Certificate Expiration DateAugust 8, 2026
Laboratory DirectorYohanna Deno
Laboratory Phone(772) 446-3403
Laboratory LocationWellness360 Primary Care1700 SE Hillmoor Drive Suite 305, Port Saint Lucie, FL 34952
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANDRA DEL CARMEN SALCEDO APRN
Nurse Practitioner
1700 SE HILLMOOR DR STE 305
PORT SAINT LUCIE, FL 34952
St. Lucie County (772) 807-1636
M AND S MEDICAL SERVICES, CORP
Clinic/Center
1700 SE HILLMOOR DR STE 305
PORT SAINT LUCIE, FL 34952
St. Lucie County (772) 237-7542
CDC RESEARCH INSTITUTE,LLC
Family Medicine
1700 SE HILLMOOR DR STE 305
PORT SAINT LUCIE, FL 34952
St. Lucie County (772) 807-1636

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wellness360 Primary Care's NPI number?

The NPI number for Wellness360 Primary Care is 1154172773. It was assigned to this organization in the NPPES registry on April 1, 2024.

Where is Wellness360 Primary Care located?

Wellness360 Primary Care is located at 1700 SE Hillmoor Dr Ste 305, Port Saint Lucie, FL 34952. The listed phone number is (772) 292-8188.

What is Wellness360 Primary Care's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Wellness360 Primary Care was last updated on April 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.