# MW WELLNESS II, LLC

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

## Provider details

- **NPI number:** 1558819201
- **Authorized official:** JODI DESPOY (MANAGER)
- **Authorized official phone:** (813) 228-6334

## Contact information

- **Practice address:** 99 FARMINGTON AVE, BRISTOL, CT 06010-4226
- **Practice address phone:** (813) 228-6334
- **Mailing address:** 509 S HYDE PARK AVE, TAMPA, FL 33606-2266
- **Mailing address phone:** (813) 228-6763

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/12/2016
- **Last updated:** 06/26/2023