FAMILY MEDICAL CLINIC AND WELLNESS LLC
NPI 1801676556
Nurse Practitioner - Family in Port Saint Lucie, FL
About Family Medical Clinic And Wellness Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY MEDICAL CLINIC AND WELLNESS LLC (NPI 1801676556) is a healthcare organization registered as a family in Port Saint Lucie, Florida and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through December 9, 2026 and lists Teresa A Kowalczyk Vitous, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 10D2315290
Family Medical Clinic And Wellness LLC · Port Saint Lucie, FLOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORT ST LUCIE, FL 34983
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 Family Medical Clinic And Wellness LLC's NPI number?
The NPI number for Family Medical Clinic And Wellness LLC is 1801676556. It was assigned to this organization in the NPPES registry on October 2, 2023.
Where is Family Medical Clinic And Wellness LLC located?
Family Medical Clinic And Wellness LLC is located at 207 NW Saint James Dr, Port Saint Lucie, FL 34983. The listed phone number is (772) 710-8583.
What is Family Medical Clinic And Wellness LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Does Family Medical Clinic And Wellness LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2315290) is associated with this NPI, valid through December 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Family Medical Clinic And Wellness LLC was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Family Medical Clinic And Wellness Llc · NPI 1801676556
Family organization in Port Saint Lucie, Florida. Organization record, active in the CMS NPPES registry since October 2, 2023.
## Identity
- **NPI:** 1801676556 (Entity type: Organization)
- **Enumerated:** October 2, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Teresa Kowalczyk Vitous, OWNER
## Practice location
- **Address:** 207 NW SAINT JAMES DR, Port Saint Lucie, FL 34983-1291
- **Phone:** (772) 710-8583
## Record status
- **NPPES last updated:** November 11, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1801676556) · Data from the CMS NPPES public registry.