East West Holistic Medicine Clinic LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EAST WEST HOLISTIC MEDICINE CLINIC LLC

Practice address

506 SW Federal Hwy
Suite 101
Stuart, FL 34994-2827

Phone

(772) 600-7033

Fax

(772) 600-7083

NPI assigned

May 4, 2007

Last updated

Jan 11, 2012By 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

Mrs. Natalya Klyuchko, AP

Title

MGR

Phone

(772) 600-0073

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1679785240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 SW FEDERAL HWY",
            "address_2": "SUITE101",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942827",
            "telephone_number": "772-600-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 SW FEDERAL HWY",
            "address_2": "SUITE 101",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942827",
            "telephone_number": "772-600-7033",
            "fax_number": "772-600-7083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST WEST HOLISTIC MEDICINE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "KLYUCHKO",
        "authorized_official_first_name": "NATALYA",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "772-600-0073",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "AP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Stuart, FL
• Providers in Stuart, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.