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Contact Information

ILLUSIONS WELLNESS AND RECOVERY LLC
800 VIGINIA AVE
STE 59 B
FORT PIERCE, FL34982
 Phone: 772-577-6323
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

163WG0000X
 

Adult Mental Health

261QM0850X
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Health Service

261QH0100X
Indicates primary specialty

NPI Profile & details for ILLUSIONS WELLNESS AND RECOVERY LLC · (Female)

NPI # 1518798214
Status Active
Credentials
Entity Individual
Enumeration date 08/13/2024
Last updated 08/26/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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