Organization · NPI-2

Florida Wellness Center Of Tallahassee, INC

Chiropractor · Tallahassee, FL

NPI number1104150366
StatusActive
Last updated in NPPESFeb 27, 2013

Details

NPI
1104150366
Entity type
Organization (NPI-2)
Legal business name
Florida Wellness Center Of Tallahassee, INC
Organization subpart
No
Enumeration date
Sep 21, 2009
Last updated
Feb 27, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor––Yes
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine––
111NR0400X Chiropractor, Rehabilitation––

Practice location

2339 N Monroe St
Tallahassee, FL 32303-4733

Phone 850-385-6664 · Fax 850-385-2403

Mailing address

2339 N Monroe St
Tallahassee, FL 32303-4733

Phone 850-385-6664 · Fax 850-385-2403

Authorized official

Reynaldo Perez
President
8503856664

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