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Organization
MEADOWS WELLNESS CLINIC LLC
Active
Organization
MEADOWS WELLNESS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA MEADOWS APRN (APRN)
(850) 226-8117
Entity
Organization
Contact information
Practice address
151 MARY ESTHER BLVD STE 403A, MARY ESTHER, FL 32569-1975
(850) 226-8117
Mailing address
151 MARY ESTHER BLVD STE 403A, MARY ESTHER, FL 32569-1975
(850) 226-8117
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
—
NULL
363LA2100X
Acute Care Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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