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Contact Information

A LIST WELLNESS LLC
600 SW DARWIN BLVD STE 206
PORT SAINT LUCIE, FL34953-3365
 Phone: 772-323-0040
 Fax: 772-236-0515
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for A LIST WELLNESS LLC

NPI # 1508723081
LBN Legal business name A LIST WELLNESS LLC
Authorized official GITANA NG - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/07/2026
Last updated 01/07/2026 - About 5 months 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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