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Organization
MTU PROPERTIES, LLC
Active
Organization
MTU PROPERTIES, LLC
Active
Other names
FLORIDA WELLNESS GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
EVAN ELLENBERG PA-C (PRESIDENT)
(850) 588-1066
Entity
Organization
Contact information
Practice address
12111 PANAMA CITY BEACH PKWY, PANAMA CITY BEACH, FL 32407-2609
(850) 588-1066
Mailing address
12111 PANAMA CITY BEACH PKWY, PANAMA CITY BEACH, FL 32407-2609
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
11/21/2024
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