Columbus Medical Wellness Center 4 U, INC
Clinic/Center, Medical Specialty in Clearwater, FL. Organization (NPI-2).
NPI number1366728016
StatusActive
Last updated in NPPESOct 26, 2011
Details
- NPI
- 1366728016
- Entity type
- Organization (NPI-2)
- Legal business name
- Columbus Medical Wellness Center 4 U, INC
- Organization subpart
- No
- Enumeration date
- Oct 26, 2011
- Last updated
- Oct 26, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | ME82686 | FL | Yes |
Practice location
3081 Roosevelt Blvd300
Clearwater, FL 33760-3422
Phone 727-259-3889
Mailing address
3081 Roosevelt Blvd300
Clearwater, FL 33760-3422
Phone 727-259-3889
Authorized official
Antonio P Monson
0wner
7272593889
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