| The Wellness Group Of Tampa, Llc | |
|
1910 Orient Rd Tampa FL 33619-3354 | |
| (813) 701-1234 | |
| (813) 630-4670 |
| Full Name | The Wellness Group Of Tampa, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1910 Orient Rd, Tampa, Florida |
| Authorized Official Name and Position | Frankie Esteban Valle (MANAGING PARTNER) |
| Authorized Official Contact | 8137011234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Wellness Group Of Tampa, Llc 1910 Orient Rd Tampa FL 33619-3354 Ph: (813) 701-1234 | The Wellness Group Of Tampa, Llc 1910 Orient Rd Tampa FL 33619-3354 Ph: (813) 701-1234 |
| NPI Number | 1104291756 |
|---|---|
| Provider Enumeration Date | 12/08/2015 |
| Last Update Date | 09/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104291756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | ME85148 (Florida) | Primary |
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