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Organization
MW WELLNESS III, LLC
Active
Organization
MW WELLNESS III, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI DESPOY (MANAGER)
(813) 228-6334
Entity
Organization
Contact information
Practice address
3851 CORPORATE CENTER DRIVE, SUITE 117, BRYAN, TX 77802
(979) 393-0369
Mailing address
509 S HYDE PARK AVE, TAMPA, FL 33606
(813) 228-6334
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QB0002X
Obesity Medicine (Family Medicine) Physician
—
—
Other
Enumeration date
10/20/2016
Last updated
06/26/2023
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