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Organization
PREMIER WELLNESS CENTERS LLC
Active
Organization
PREMIER WELLNESS CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM J JENSEN DC (OWNER)
(772) 879-8700
Entity
Organization
Contact information
Practice address
10050 SW INNOVATION WAY, SUITE 201, PORT ST LUCIE, FL 34987-2117
(772) 879-8700
(772) 879-8710
Mailing address
10050 SW INNOVATION WAY, SUITE 201, PORT ST LUCIE, FL 34987-2117
(772) 879-8700
(772) 879-8710
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8221
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992919922
NPI
FL
Enumeration date
11/03/2008
Last updated
03/09/2015
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