# MW WELLNESS I, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376998328
- **Authorized official:** STACEY HEALD (MANAGER)
- **Authorized official phone:** (813) 228-6334

## Contact information

- **Practice address:** 3202 W KENNEDY BLVD, SUITE 2, TAMPA, FL 33609-3245
- **Practice address phone:** (813) 228-6334
- **Mailing address:** 509 S HYDE PARK AVE, TAMPA, FL 33606-2266
- **Mailing address phone:** (813) 228-6334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/27/2016
- **Last updated:** 11/26/2018