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Organization
WELLNESS GROUP OF SOUTH FLORIDA LLC
Active
Organization
WELLNESS GROUP OF SOUTH FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES A SIMPSON DC (PRESIDENT)
(772) 463-2344
Entity
Organization
Contact information
Practice address
104 SE LONITA ST, STUART, FL 34994-3447
(772) 463-2344
(442) 463-9565
Mailing address
104 SE LONITA ST, STUART, FL 34994-3447
(772) 463-2344
(442) 463-9565
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
FL
207R00000X
Internal Medicine Physician
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH8255
LIC
FL
Enumeration date
08/23/2016
Last updated
08/23/2016
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