Holistic Gynecology of the Treasurecoast

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

ME82630 Issued in FL

Legal business name

HOLISTIC GYNECOLOGY OF THE TREASURECOAST

Practice address

2100 SE Ocean Blvd
Ste 200-B
Stuart, FL 34996-3332

Phone

(772) 266-4258

Fax

(772) 219-8111

NPI assigned

Mar 6, 2011

Organization subpart

No

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

Authorized official

Name

Mylaine Riobe Heron, MD

Title

Owner/Director

Phone

(772) 266-4258

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1299369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1689972200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 SE OCEAN BLVD",
            "address_2": "STE 200-B",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963332",
            "telephone_number": "772-266-4258",
            "fax_number": "772-219-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SE OCEAN BLVD",
            "address_2": "STE 200-B",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963332",
            "telephone_number": "772-266-4258",
            "fax_number": "772-219-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC GYNECOLOGY OF THE TREASURECOAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-06",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "RIOBE HERON",
        "authorized_official_first_name": "MYLAINE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "772-266-4258",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME82630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Nicole Holder
• Nathaniel Alejandro Holguin I
• Holiday CVS LLC
• Holiday CVS LLC
• Holiday CVS LLC
• Daniel T Holley, MD
• Maureen M Holley, DMD
• Tracey Holley
• Frances Palmer Holliday
• Kenneth L Holling, MD

• Medical Specialty Clinic/Center in Stuart, FL
• Providers in Stuart, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.