# WELLQUEST LIFESTYLE REHABILITATION, LLC

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

## Provider details

- **NPI number:** 1699366385
- **Authorized official:** CAMILLE CLARK (MEDICAL BILLING ASSOCIATE)
- **Authorized official phone:** (754) 205-6154

## Contact information

- **Practice address:** 345 E ROBERTSON ST, BRANDON, FL 33511-5253
- **Practice address phone:** (813) 404-6006
- **Mailing address:** 110 MITCHELL DR, BRANDON, FL 33511-6831
- **Mailing address phone:** (813) 404-6006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | — | Yes |

## Other

- **Enumeration date:** 01/27/2021
- **Last updated:** 01/27/2021