Date Wellness Center Inc

NPI 1154723823 - Clinic/Center - 261QH0100X

NPI Details
NPI 1154723823
Enumeration Date 09/24/2014
Last Updated 09/24/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name JESSICA JESSICA
Position MEDICAL DIRECTOR
Phone (305) 974-5683
Fax (305) 646-1361
Practice Location
5190 NW 167TH ST
STE 308
MIAMI LAKES FL, 33014-6328, US
Phone (305) 974-5683
Fax (305) 646-1361
Business Location
5190 NW 167TH ST
STE 308
MIAMI LAKES FL, 33014-6328, US
Phone (305) 974-5683
Fax (305) 646-1361
Toxanomy
Taxonomy Code 261QH0100X
License State Florida
License Number OS12303
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According to our database, Date Wellness Center Inc NPI is 1154723823, taxonomy code is 261QH0100X and license number is OS12303, license state is located at Florida. Date Wellness Center Inc physically located at 5190 Nw 167th St, Miami Lakes FL, 33014-6328. NPI Number 1033115704 has the healthcare provider type.

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1154723823 NPI number is provided on an as is basis without warranty of any kind. 1154723823 is maintained by the National Plan & Provider Enumeration System. The contents of Date Wellness Center Inc are for informational purposes only.