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Organization
TELEWELL LLC
Active
Organization
TELEWELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA GAYER COO (COO)
(240) 291-5145
Entity
Organization
Contact information
Practice address
21400 W DIXIE HWY, MIAMI, FL 33180-1144
(240) 291-5145
Mailing address
6415 ROCKHURST RD, BETHESDA, MD 20817-1637
(240) 201-5145
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
09/15/2023
Last updated
06/27/2024
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