| Ilq Wlleness | |
|
8201 Peters Rd C/o Mpg Plantation FL 33324-3265 | |
| (786) 520-5274 | |
| Not Available |
| Full Name | Ilq Wlleness |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 8201 Peters Rd, Plantation, Florida |
| Authorized Official Name and Position | Ronda Rogers (PRESIDENT) |
| Authorized Official Contact | 7865205274 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ilq Wlleness 8201 Peters Rd C/o Mpg Plantation FL 33324-3265 Ph: (786) 520-5274 | Ilq Wlleness 8201 Peters Rd C/o Mpg Plantation FL 33324-3265 Ph: (786) 520-5274 |
| NPI Number | 1437526530 |
|---|---|
| Provider Enumeration Date | 08/25/2015 |
| Last Update Date | 08/25/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437526530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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