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Organization
PALM WELLNESS CENTER LLC
Active
Organization
PALM WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHEL REYES LMT/CEO (CEO)
(813) 443-5370
Entity
Organization
Contact information
Practice address
1004 W. LINEBAUGH AVE, STE #A, TAMPA, FL 33612
(813) 443-5370
(813) 443-5604
Mailing address
8900 N ARMENIA AVE, STE#212, TAMPA, FL 33604-1067
(813) 443-5370
(813) 443-5604
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
MM28422
FL
Other
Enumeration date
10/25/2014
Last updated
10/21/2021
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