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Organization
WELLNOS PLLC
Active
Organization
WELLNOS PLLC
Active
Other names
Physical Therapy Now Sunrise
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA LEA FONDA (CREDENTIALING DIRECTOR)
(305) 517-1219
Entity
Organization
Contact information
Practice address
4490 N UNIVERSITY DR, LAUDERHILL, FL 33351-4513
(754) 701-7274
(954) 453-6065
Mailing address
4490 N UNIVERSITY DR, LAUDERHILL, FL 33351-4513
(754) 701-7274
(954) 453-6065
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/10/2020
Last updated
04/01/2021
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