Wellquest Lifestyle Rehabilitation, LLC
Acupuncturist in Brandon, FL. Organization (NPI-2).
NPI number1699366385
StatusActive
Last updated in NPPESJan 27, 2021
Details
- NPI
- 1699366385
- Entity type
- Organization (NPI-2)
- Legal business name
- Wellquest Lifestyle Rehabilitation, LLC
- Organization subpart
- No
- Enumeration date
- Jan 27, 2021
- Certification date
- Jan 27, 2021
- Last updated
- Jan 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | – | – | Yes |
Practice location
345 E Robertson StBrandon, FL 33511-5253
Phone 813-404-6006
Mailing address
110 Mitchell DrBrandon, FL 33511-6831
Phone 813-404-6006
Authorized official
Camille Clark
Medical Billing Associate
7542056154
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