| Mw Wellness Xii, Llc | |
|
154 Faunce Corner Rd Suite F North Dartmouth MA 02747-1214 | |
| (813) 228-6334 | |
| Not Available |
| Full Name | Mw Wellness Xii, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 154 Faunce Corner Rd, North Dartmouth, Massachusetts |
| Authorized Official Name and Position | Stacey Heald (EVP) |
| Authorized Official Contact | 8132286334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mw Wellness Xii, Llc 509 S Hyde Park Ave Tampa FL 33606-2266 Ph: () - | Mw Wellness Xii, Llc 154 Faunce Corner Rd Suite F North Dartmouth MA 02747-1214 Ph: (813) 228-6334 |
| NPI Number | 1346873361 |
|---|---|
| Provider Enumeration Date | 02/18/2020 |
| Last Update Date | 02/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346873361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207QB0002X | Family Medicine - Obesity Medicine | (* (Not Available)) | Secondary |
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