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Organization
HEALTH AND WELLNESS PREMIUM SERVICES LLC
Active
Organization
HEALTH AND WELLNESS PREMIUM SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KESANN K DORMAND (CEO)
(561) 779-0728
Entity
Organization
Contact information
Practice address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
(561) 247-3069
Mailing address
3555 OLEANDER TER, RIVIERA BEACH, FL 33404-1878
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/18/2024
Last updated
10/22/2025
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