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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

NPI # 1518798214
LBN Legal business name ILLUSIONS WELLNESS AND RECOVERY LLC
Authorized official NYDIA WHITAKER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/13/2024
Last updated 08/26/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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