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WHOLISTIC MEDICINE CLIN
NPI 1619033362
Clinic/Center in Port St Lucie, FL

Active since December 28, 2006
1405 SE GOLDTREE DR, SUITE D, PORT ST LUCIE, FL 34952(772) 335-5022(772) 335-5029 Get Directions Write a Review

NPPES record last updated: September 8, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wholistic Medicine Clin NPPES

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

WHOLISTIC MEDICINE CLIN (NPI 1619033362) is a healthcare organization registered as a clinic/center in Port St Lucie, Florida and active in the NPI registry since December 2006. The organization lists William G Tye, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1619033362
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameWHOLISTIC MEDICINE CLIN
Location Address1405 SE GOLDTREE DR, SUITE DPort St Lucie, FL 34952-7563
Mailing Address1405 Se Goldtree Dr, Suite DPort St Lucie, FL 34952-7563 · (772) 335-5022 · Fax (772) 335-5029
Phone(772) 335-5022
Fax(772) 335-5029
Organization SubpartNo
Authorized OfficialWilliam G TyeManaging Partner · (772) 335-5022
Enumeration DateDecember 28, 2006
Last NPPES UpdateSeptember 8, 2008
✔ NPI 1619033362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1405 SE GOLDTREE DR, Port St Lucie, FL 34952
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Other Identifiers 2

Other94821FL · Bluecross Blue Shield
Medicare ID-Type UnspecifiedK4343FL

Other Providers at the Same Location NPPES 7

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

SON SHINE FOOT AND ANKLE CENTER INC
Podiatrist (Foot & Ankle Surgery)
1405 SE GOLDTREE DR, SUITE B
PORT ST LUCIE, FL 34952
St. Lucie County (772) 380-0900
MISS FAITH SAPIO DOCUMENTO PHYSICAL THERAPIST
Physical Therapist
1405 SE GOLDTREE DR, SUITE D
PORT ST LUCIE, FL 34952
St. Lucie County (772) 380-0025
SONSHINE AMBULATORY CARE CENTER
General Practice
1405 SE GOLDTREE DR, SUITE # C
PORT ST LUCIE, FL 34952
St. Lucie County (772) 380-0900
NEUROSCIENCE AND SLEEP DISORDERS CENTER
Clinic/Center (Medical Specialty)
1405 SE GOLDTREE DR, SUITE B
PORT ST LUCIE, FL 34952
St. Lucie County (772) 777-2680
THE SHORES TREATMENT & RECOVERY SERVICES, LLC
Substance Abuse Rehabilitation Facility
1405 SE GOLDTREE DR, SUITE A
PORT SAINT LUCIE, FL 34952
St. Lucie County (772) 800-3990
DR. KAREN CHRISTINE DODGE PHD., MSPH, LCSW
Social Worker (Clinical)
1405 SE GOLDTREE DR
PORT SAINT LUCIE, FL 34952
St. Lucie County (561) 346-0660
FREDRICK C TREADWELL D.MIN.
Counselor (Pastoral)
1405 SE GOLDTREE DR
PORT SAINT LUCIE, FL 34952
St. Lucie County (772) 800-3990

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 Wholistic Medicine Clin's NPI number?

The NPI number for Wholistic Medicine Clin is 1619033362. It was assigned to this organization in the NPPES registry on December 28, 2006.

Where is Wholistic Medicine Clin located?

Wholistic Medicine Clin is located at 1405 SE Goldtree Dr Suite D, Port St Lucie, FL 34952. The listed phone number is (772) 335-5022.

What is Wholistic Medicine Clin's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Wholistic Medicine Clin was last updated on September 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.