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Active NPI 1801672134 Organization (Entity Type 2)

Forge Wellness

Family Medicine • Tequesta, FL

About Forge Wellness NPI 1801672134 Summary

Forge Wellness is a verified healthcare organization specializing in Family Medicine operating in Tequesta, FL. Located at 169 TEQUESTA DRIVE UNIT 12E, this facility provides patient care and medical services under National Provider Identifier (NPI) 1801672134.

Administrative operations and authorized compliance are overseen by Lawrence Nolan (Owner).

Facility Location & Contact Primary Location

Facility Address

169 Tequesta Drive Unit 12e

Tequesta, FL 334692783

Telephone 5616000194
Fax 9543013742

Authorized Official Information

Authorized Contact Name

Lawrence Nolan , MD

Title / Role

Owner

Official Telephone

5178816570

Facility Classifications & Specialties

Family Medicine Primary Taxonomy

NUCC Taxonomy Code: 207Q00000X

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active September 04, 2023

NPI status registered as active in NPPES database

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Updated Practice Location September 04, 2023

Registered at 169 TEQUESTA DRIVE UNIT 12E, TEQUESTA, FL 334692783 (Tel: 5616000194)

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Updated Business Mailing Address September 04, 2023

Registered at 169 TEQUESTA DRIVE UNIT 12E, TEQUESTA, FL 334692783 (Tel: 5616000194)

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Organization / Clinic Name Updated September 04, 2023

Operating as FORGE WELLNESS

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2023

Family Medicine

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Initial NPI Registration & Enumeration September 04, 2023

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1801672134
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: September 04, 2023
Last Update: September 04, 2023

Mailing Address

169 Tequesta Drive Unit 12e

Tequesta, FL 334692783

Phone: 5616000194

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.