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RENEWED WELLNESS MEDICAL CENTER LLC NPI 1699338434


NPI Information

NPI: 1699338434
Provider Name: RENEWED WELLNESS MEDICAL CENTER LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
4047 OKEECHOBEE BLVD STE 126
WEST PALM BEACH, FL
ZIP 33409
Phone: (561) 619-8160
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RENEWED WELLNESS MEDICAL CENTER LLC is a general practice in West Palm Beach, 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 RENEWED WELLNESS MEDICAL CENTER LLC NPI is 1699338434. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4047 OKEECHOBEE BLVD STE 126
WEST PALM BEACH, FL
ZIP 33409-225
Phone: (561) 619-8160

The provider's authorized official is Joseph Taylor .
The authorized official title is Owner and has the following contact phone number (561) 723-7701.

The enumeration date for this NPI number is 4/17/2019 and was last updated on 4/17/2019.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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