| Amplified Vitality Wellness Clinic, Llc | |
|
3401 N Dixie Hwy Oakland Park FL 33334-2839 | |
| (954) 667-3385 | |
| Not Available |
| Full Name | Amplified Vitality Wellness Clinic, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3401 N Dixie Hwy, Oakland Park, Florida |
| Authorized Official Name and Position | Christopher Paul Lacross (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6033033660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amplified Vitality Wellness Clinic, Llc 312 Ne 26th St Wilton Manors FL 33305-1137 Ph: (603) 303-3660 | Amplified Vitality Wellness Clinic, Llc 3401 N Dixie Hwy Oakland Park FL 33334-2839 Ph: (954) 667-3385 |
| NPI Number | 1255045209 |
|---|---|
| Provider Enumeration Date | 01/12/2023 |
| Last Update Date | 01/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255045209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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