The Palms Wellness Center

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

ME83014 Issued in FL

Legal business name

THE PALMS WELLNESS CENTER

Practice address

10570 S US Highway 1
Suite 102
Port Saint Lucie, FL 34952-5606

Phone

(772) 828-6992

NPI assigned

Oct 7, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Beth Iris Hernandez

Title

Ceo

Phone

(772) 828-6992

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rafael Hernandez Jr.

  • Addiction Medicine (Family Medicine) Physician
  • Port Saint Lucie, FL
  • NPI 1417407958

  Multi-Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1144770686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10570 S US HIGHWAY 1",
            "address_2": "SUITE 102",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349525606",
            "telephone_number": "772-828-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10570 S US HIGHWAY 1",
            "address_2": "SUITE 102",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349525606",
            "telephone_number": "772-828-6992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PALMS WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-07",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "IRIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-828-6992",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "FL",
            "license": "ME83014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction Medicine (Family Medicine) Physician in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Addiction Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.