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Organization
MY WELLNESS PRACTICE
Active
Organization
MY WELLNESS PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUMAIRA JAGVANI APRN (OWNER)
(954) 439-4333
Entity
Organization
Contact information
Practice address
12505 ORANGE DR STE 905, DAVIE, FL 33330-4300
(954) 839-6002
(954) 539-6002
Mailing address
12505 ORANGE DR STE 905, DAVIE, FL 33330-4300
(954) 839-6002
(954) 539-6002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/03/2024
Last updated
09/10/2024
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