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Organization
MANDALA FAMILY WELLNESS LLC
Active
Organization
MANDALA FAMILY WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW DELANEY (DIRECTOR OF OPERATIONS AND COMPLIAN)
(904) 373-0082
Entity
Organization
Contact information
Practice address
171 CANAL BLVD, PONTE VEDRA BEACH, FL 32082-3607
(904) 834-7581
Mailing address
171 CANAL BLVD, PONTE VEDRA BEACH, FL 32082-3607
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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