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Organization
MW WELLNESS VI, LLC
Active
Organization
MW WELLNESS VI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD KALOUST (CEO)
(813) 228-6334
Entity
Organization
Contact information
Practice address
4000 FIVE POINTS DR STE 169, ARLINGTON, TX 76018-6057
(817) 375-0537
(817) 375-0537
Mailing address
509 S HYDE PARK AVE, TAMPA, FL 33606-2266
(813) 228-6334
(813) 228-6763
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/18/2017
Last updated
12/06/2017
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