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Organization
WELLNESS CENTER 'LIMITED LIABILITY COMPANY'
Active
Organization
WELLNESS CENTER 'LIMITED LIABILITY COMPANY'
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HOWARD I MOSKOW A.P., P.T. (MANAGER)
(954) 675-5189
Entity
Organization
Contact information
Practice address
3315 NE 16TH ST, FORT LAUDERDALE, FL 33304-1711
(954) 675-5189
(954) 565-6463
Mailing address
3315 NE 16TH ST, FORT LAUDERDALE, FL 33304-1711
(954) 675-5189
(954) 565-6463
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
AP1364
FL
Other
Enumeration date
01/22/2008
Last updated
01/28/2008
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