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Organization
SHEKINAH HEALTH & WELLNESS CENTER, LLC
Active
Organization
SHEKINAH HEALTH & WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOLINE J BLANC PA-C (OWNER)
(561) 317-8454
Entity
Organization
Contact information
Practice address
305 CLYDE MORRIS BLVD, ORMOND BEACH, FL 32174-8181
(561) 317-8454
Mailing address
305 CLYDE MORRIS BLVD, ORMOND BEACH, FL 32174-8181
(561) 317-8454
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
11/14/2018
Last updated
11/15/2018
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