# WELLNESS DEPOT CENTER FL LLC

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

## Provider details

- **NPI number:** 1689354078
- **Authorized official:** ALEXANDER MOGILNER (OWNER)
- **Authorized official phone:** (516) 984-7327

## Contact information

- **Practice address:** 3537 FOREST HILL BLVD STE B, WEST PALM BEACH, FL 33406-5867
- **Practice address phone:** (561) 892-6002
- **Mailing address:** 3537 FOREST HILL BLVD STE B, WEST PALM BEACH, FL 33406-5867

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/20/2023
- **Last updated:** 10/19/2023