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Organization
MASAI WELLNESS LLC
Active
Organization
MASAI WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEOPHILUS TORGBOR SAI M.D. (FOUNDER AND CEO)
(813) 600-9981
Entity
Organization
Contact information
Practice address
7444 PALM RIVER RD, TAMPA, FL 33619-4128
(813) 600-9981
Mailing address
3218 W HORATIO ST, TAMPA, FL 33609
(813) 600-9981
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME101036
FL
Other
Enumeration date
02/01/2012
Last updated
08/02/2016
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