Wepellet Bradenton LLC
Clinic/Center in Bradenton, FL. Organization (NPI-2).
NPI number1124534342
StatusActive
Last updated in NPPESDec 26, 2017
Details
- NPI
- 1124534342
- Entity type
- Organization (NPI-2)
- Legal business name
- Wepellet Bradenton LLC
- Organization subpart
- Yes
- Enumeration date
- Dec 26, 2017
- Last updated
- Dec 26, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 0S10018 | FL | Yes |
Practice location
1003 8th Ave WBradenton, FL 34205-7709
Phone 833-937-3553
Mailing address
1003 8th Ave WBradenton, FL 34205-7709
Authorized official
Jaclyn Shedden
Director Of Clinical Services
8339393553
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