| Bwell Medical Llc | |
|
14846 Tamiami Trl North Port FL 34287-2701 | |
| (941) 914-4168 | |
| Not Available |
| Full Name | Bwell Medical Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 14846 Tamiami Trl, North Port, Florida |
| Authorized Official Name and Position | Lisa J Richards (OWNER) |
| Authorized Official Contact | 9419144168 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bwell Medical Llc 4578 N Biscayne Dr North Port FL 34291-7081 Ph: (813) 409-6931 | Bwell Medical Llc 14846 Tamiami Trl North Port FL 34287-2701 Ph: (941) 914-4168 |
| NPI Number | 1992537633 |
|---|---|
| Provider Enumeration Date | 08/19/2024 |
| Last Update Date | 08/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992537633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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