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Organization
PREVENTATIVE WELLNESS SOLUTIONS II, PLLC
Active
Organization
PREVENTATIVE WELLNESS SOLUTIONS II, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KALOUST (MANAGER)
(813) 228-6334
Entity
Organization
Contact information
Practice address
3878 OXFORD STATION WAY, WINSTON SALEM, NC 27103-1340
(813) 228-6334
Mailing address
509 S HYDE PARK AVE, TAMPA, FL 33606-2266
(813) 228-6334
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QB0002X
Obesity Medicine (Family Medicine) Physician
—
—
Other
Enumeration date
02/01/2022
Last updated
01/05/2023
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