MW WELLNESS I LLC NPI 1376998328

NPI Information

MW WELLNESS I, LLC is a general practice in Tampa, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MW WELLNESS I, LLC NPI is 1376998328. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3202 W KENNEDY BLVD
SUITE 2
TAMPA, FL
ZIP 33609-245
Phone: (813) 228-6334

The provider's authorized official is Stacey Heald .
The authorized official title is Manager and has the following contact phone number (813) 228-6334.

The CLIA number assigned to this NPI record is 10D2002986 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/27/2016 and was last updated on 11/26/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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