| Wellness Walk Dpm Llc | |
|
14332 Nw 87th Ct, Miami Lakes, FL 33018-8044 | |
| (786) 630-0330 | |
| Not Available |
| Full Name | Wellness Walk Dpm Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 14332 Nw 87th Ct, Miami Lakes, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578200564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | Alejandro R Gonzalez Ballagas |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1417180159 PECOS PAC ID: 0042596926 Enrollment ID: I20170406002614 |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Walk Dpm Llc 14332 Nw 87th Ct, Miami Lakes, FL 33018-8044 Ph: (786) 630-0330 | Wellness Walk Dpm Llc 14332 Nw 87th Ct, Miami Lakes, FL 33018-8044 Ph: (786) 630-0330 |
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