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Organization
RENUVA WELLNESS LLC
Active
Organization
RENUVA WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELSA ASHLEY FREDERIC FNP-BC (PROVIDER)
(786) 718-3813
Entity
Organization
Contact information
Practice address
8910 MIRAMAR PKWY STE 200, MIRAMAR, FL 33025-4963
(305) 709-8343
Mailing address
8910 MIRAMAR PKWY STE 200, MIRAMAR, FL 33025-4963
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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