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Organization
UNITED WELLNESS CENTER LLC
Active
Organization
UNITED WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOURDES BASTARDO (MBR)
(178) 621-2684
Entity
Organization
Contact information
Practice address
6250 HAZELTINE NATIONAL DR STE 102, ORLANDO, FL 32822-5102
(407) 237-9955
Mailing address
6250 HAZELTINE NATIONAL DR STE 102, ORLANDO, FL 32822-5102
(407) 237-9955
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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