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Mw Wellness I, LLC

Internal Medicine in Sarasota, FL. Organization (NPI-2).

NPI number1982118899
StatusActive
Last updated in NPPESNov 30, 2017

Details

NPI
1982118899
Entity type
Organization (NPI-2)
Legal business name
Mw Wellness I, LLC
Organization subpart
Yes
Enumeration date
Nov 30, 2017
Last updated
Nov 30, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Other names

  • Sarasota (Other Name)

Practice location

4930 Fruitville Rd
Sarasota, FL 34232-2206

Phone 813-228-6334

Mailing address

4930 Fruitville Rd
Sarasota, FL 34232-2206

Phone 813-228-6334

Authorized official

Wendie Nonclerc
Director Of Insurance
8132286334

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