THE GITTENS CLINIC INC NPI 1457895625

NPI Information

NPI: 1457895625
Provider Name: THE GITTENS CLINIC INC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 10D2299138

Address:
789 SW FEDERAL HWY STE 212
STUART, FL
ZIP 34994
Phone: (772) 288-4111
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THE GITTENS CLINIC INC is a rehabilitation and substance use disorder clinic center in Stuart, FL. THE GITTENS CLINIC INC NPI is 1457895625. The provider is registered as an organization entity type.

The provider's business location address is:

789 SW FEDERAL HWY STE 212
STUART, FL
ZIP 34994-962
Phone: (772) 288-4111
Fax: (772) 905-3336

The provider's authorized official is Carl Gittens .
The authorized official title is President and has the following contact phone number (772) 215-5905.

The CLIA number assigned to this NPI record is 10D2299138 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/7/2016 and was last updated on 7/22/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder		FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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