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Organization
WELLNESS SOLUTIONS 2020 LLC
Active
Organization
WELLNESS SOLUTIONS 2020 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ORIALYS RODRIGUEZ PA (PHYSICIAN ASSISTANT)
(786) 307-3865
Entity
Organization
Contact information
Practice address
2300 N COMMERCE PKWY STE 321, WESTON, FL 33326-3257
(954) 573-5464
(954) 217-3538
Mailing address
2925 NW 130TH AVE APT 314, SUNRISE, FL 33323-3074
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9109300
PA LICENSE
FL
Enumeration date
05/27/2020
Last updated
05/27/2020
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