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Organization
PERSONALIZED AND RESTORATIVE WELLNESS PA
Active
Organization
PERSONALIZED AND RESTORATIVE WELLNESS PA
Active
Other names
Prestige Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAL WALL MD (CEO)
(561) 517-8678
Entity
Organization
Contact information
Practice address
13005 SOUTHERN BLVD STE 221, LOXAHATCHEE, FL 33470-9272
(561) 517-8678
(561) 529-5082
Mailing address
13005 SOUTHERN BLVD STE 221, LOXAHATCHEE, FL 33470-9272
(561) 517-8678
(561) 529-5082
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/29/2020
Last updated
06/30/2026
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