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Organization
WHOLESOME FAMILY WELLNESS LLC
Active
Organization
WHOLESOME FAMILY WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER P SOAVE DPT, LMT (OWNER)
(561) 577-4860
Entity
Organization
Contact information
Practice address
4420 NW 28TH WAY, BOCA RATON, FL 33434-5819
(561) 577-4860
(561) 509-7621
Mailing address
4420 NW 28TH WAY, BOCA RATON, FL 33434-5819
(561) 577-4860
(561) 509-7621
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT25905
FL
225700000X
Massage Therapist
MA52832
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002865100
—
FL
Enumeration date
11/22/2011
Last updated
09/09/2013
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