Provider Demographics
NPI:1154650414
Name:GET WELL, LLC
Entity Type:Organization
Organization Name:GET WELL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PIERRE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANGIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-217-7030
Mailing Address - Street 1:109 NATURE WALK PKWY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SAINT AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32092-5059
Mailing Address - Country:US
Mailing Address - Phone:904-217-7030
Mailing Address - Fax:
Practice Address - Street 1:109 NATURE WALK PKWY
Practice Address - Street 2:SUITE 101
Practice Address - City:SAINT AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32092-5059
Practice Address - Country:US
Practice Address - Phone:904-217-7030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-16
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS10767261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
VTE23981Medicare UPIN