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Organization
DYNAMIC WELLNES, INC.
Active
Organization
DYNAMIC WELLNES, INC.
Active
Other names
Dynamic Wellness MTM
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GISELE VELAZQUEZ RPH, CPH (PHARMACIST)
(305) 815-0437
Entity
Organization
Contact information
Practice address
12150 SW 128TH CT, SUITE 217, MIAMI, FL 33186-4647
(786) 732-2595
(786) 732-2595
Mailing address
12150 SW 128TH CT, SUITE 217, MIAMI, FL 33186-4647
(786) 732-2595
(786) 732-2595
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS37377
FL
Other
Enumeration date
10/17/2016
Last updated
10/19/2016
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