Organization · NPI-2

Columbus Medical Wellness Center 4u, INC.

Point of Service · Clearwater, FL

NPI number1104135011
StatusActive
Last updated in NPPESSep 27, 2010

Details

NPI
1104135011
Entity type
Organization (NPI-2)
Legal business name
Columbus Medical Wellness Center 4u, INC.
Organization subpart
No
Enumeration date
Sep 27, 2010
Last updated
Sep 27, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
305S00000X Point of ServiceME82686FLYes

Practice location

3081 Roosevelt Blvd
Clearwater, FL 33760-3422

Phone 813-857-2618

Mailing address

3081 Roosevelt Blvd
Clearwater, FL 33760-3422

Phone 813-857-2618

Authorized official

Antonio Monson
Owner
8138572618

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Point of Service providers in Clearwater, FL