# APALACHICOLA WELLNESS, LLC

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

## Provider details

- **NPI number:** 1457658577
- **Authorized official:** CHARLES THOMAS BROCATO PT (OWNER)
- **Authorized official phone:** (850) 653-4545

## Contact information

- **Practice address:** 111 AVENUE E, APALACHICOLA, FL 32320-2041
- **Practice address phone:** (850) 653-4545
- **Practice address fax:** (850) 653-4949
- **Mailing address:** PO BOX 207, APALACHICOLA, FL 32329-0207
- **Mailing address phone:** (850) 653-4545
- **Mailing address fax:** (850) 653-4949

## Taxonomy

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

## Other

- **Enumeration date:** 02/25/2011
- **Last updated:** 02/25/2011