# ALLIANCE HEALTHCARE & WELLNESS,LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043804180
- **Authorized official:** DONNA GLOTZ (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (440) 262-5185

## Contact information

- **Practice address:** 21401 CORKSCREW VILLAGE LN STE 1, ESTERO, FL 33928-1915
- **Practice address phone:** (727) 309-1412
- **Mailing address:** 21401 CORKSCREW VILLAGE LN STE 1, ESTERO, FL 33928-1915
- **Mailing address phone:** (727) 309-1412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/01/2021
- **Last updated:** 03/01/2021