Organization · NPI-2
A & M Wellness Internal Medicine Practice LLC
Internal Medicine · Boynton Beach, FL
NPI number1326678244
StatusActive
Last updated in NPPESJan 20, 2020
Details
- NPI
- 1326678244
- Entity type
- Organization (NPI-2)
- Legal business name
- A & M Wellness Internal Medicine Practice LLC
- Organization subpart
- No
- Enumeration date
- Jan 20, 2020
- Certification date
- Jan 20, 2020
- Last updated
- Jan 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
3200 S Congress Ave Ste 104Boynton Beach, FL 33426-9041
Phone 561-810-8513
Mailing address
3200 S Congress Ave Ste 104Boynton Beach, FL 33426-9041
Phone 561-810-8513
Authorized official
Vivian Aguiar
Authorized Official
5618108513
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