Holy Infant Primary Care and Wellness Center

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

HOLY INFANT PRIMARY CARE AND WELLNESS CENTER

Practice address

2215 Nebraska Ave Ste 3-E
Fort Pierce, FL 34950-4867

Phone

(786) 368-7626

NPI assigned

Jun 27, 2023

Last updated

Feb 17, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anna Jose Elissenda Chanoine, MD

Title

Physician

Phone

(786) 368-7626

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771286400000",
    "number": "1417633991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 NEBRASKA AVE STE 3-E",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504867",
            "telephone_number": "772-801-5475",
            "fax_number": "772-801-5473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 NEBRASKA AVE STE 3-E",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504867",
            "telephone_number": "786-368-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY INFANT PRIMARY CARE AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-27",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A",
        "authorized_official_last_name": "CHANOINE",
        "authorized_official_first_name": "ANNA JOSE",
        "authorized_official_middle_name": "ELISSENDA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "786-368-7626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.