# ALL WELL MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235890856
- **Authorized official:** TYLER PENROD (BILLER)
- **Authorized official phone:** (305) 900-4715

## Contact information

- **Practice address:** 4303 VINELAND RD STE F9, ORLANDO, FL 32811-7372
- **Practice address phone:** (321) 209-8676
- **Practice address fax:** (512) 532-0923
- **Mailing address:** 4303 VINELAND RD STE F9, ORLANDO, FL 32811-7372
- **Mailing address phone:** (321) 209-8676
- **Mailing address fax:** (512) 532-0923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/05/2022
- **Last updated:** 01/05/2022