Provider Demographics
NPI:1073839718
Name:GERIATRIC SOLUTIONS, LLC
Entity type:Organization
Organization Name:GERIATRIC SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GERIATRIC NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MADETRIC
Authorized Official - Middle Name:NAFAYE
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP, GNP-BC
Authorized Official - Phone:850-322-1895
Mailing Address - Street 1:5804 INDIAN PINES BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34951-2302
Mailing Address - Country:US
Mailing Address - Phone:772-828-3752
Mailing Address - Fax:772-302-3518
Practice Address - Street 1:5804 INDIAN PINES BLVD
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34951-2302
Practice Address - Country:US
Practice Address - Phone:772-828-3752
Practice Address - Fax:772-302-3518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-19
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Multi-Specialty
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care