| Evolve Hydration And Wellness Llc | |
|
187 Sabal Palm Dr Ste 100 Longwood FL 32779-2595 | |
| (407) 353-1336 | |
| Not Available |
| Full Name | Evolve Hydration And Wellness Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 187 Sabal Palm Dr Ste 100, Longwood, Florida |
| Authorized Official Name and Position | Cameka Campbell (OWNER) |
| Authorized Official Contact | 4073531336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Hydration And Wellness Llc 187 Sabal Palm Dr Ste 100 Longwood FL 32779-2595 Ph: (407) 353-1336 | Evolve Hydration And Wellness Llc 187 Sabal Palm Dr Ste 100 Longwood FL 32779-2595 Ph: (407) 353-1336 |
| NPI Number | 1245015759 |
|---|---|
| Provider Enumeration Date | 08/31/2023 |
| Last Update Date | 08/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245015759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Secondary |
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