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Organization
RENEWED WELLNESS
Active
Organization
RENEWED WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLYDELL L. DEWBERRY D.C. (MANAGING MEMBER)
(405) 639-7140
Entity
Organization
Contact information
Practice address
5201 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021-6422
(954) 964-6000
(954) 964-3444
Mailing address
5201 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021-6422
(954) 964-6000
(954) 964-3444
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH-10445
FL
111N00000X
Chiropractor
Primary
CH-9460
FL
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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