| NPI Details | |
|---|---|
| NPI | 1689011488 |
| Enumeration Date | 06/03/2013 |
| Last Updated | 06/03/2013 |
| Entity Type | Healthcare Provider |
| Active | Over 4 years ago |
| Authorized Information | |
|---|---|
| Name | ENRIQUE ENRIQUE |
| Position | OWNER |
| Phone | (941) 206-5200 |
| Fax | |
| Practice Location | |
|---|---|
| 18308 MURDOCK CIR STE 107 PORT CHARLOTTE FL, 33948-1025, US |
|
| Phone | (941) 206-5200 |
| Fax | |
| Business Location | |
|---|---|
| 18308 MURDOCK CIR STE 107 PORT CHARLOTTE FL, 33948-1025, US |
|
| Phone | (941) 206-5200 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 225200000X |
| License State | |
| License Number | |
| Remove 1689011488 NPI Number | |
According to our database, Ultimate Wellness Rehab Llc NPI is 1689011488, taxonomy code is 225200000X Ultimate Wellness Rehab Llc physically located at 18308 Murdock Cir, Port Charlotte FL, 33948-1025. NPI Number 1033115704 has the healthcare provider type.
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1689011488 NPI number is provided on an as is basis without warranty of any kind. 1689011488 is maintained by the National Plan & Provider Enumeration System. The contents of Ultimate Wellness Rehab Llc are for informational purposes only.
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