# GULFPORT WELLNESS CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Health Fit M.D. Wellness & Weight Loss
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881134740
- **Authorized official:** MR. MATTHEW JOSEPH SHANNON (PRESIDENT/CFO)
- **Authorized official phone:** (501) 339-6067

## Contact information

- **Practice address:** 12261 HIGHWAY 49, SUITE 6, GULFPORT, MS 39503-2975
- **Practice address phone:** (228) 206-0542
- **Practice address fax:** (228) 206-0550
- **Mailing address:** 12261 HIGHWAY 49, SUITE 6, GULFPORT, MS 39503-2975
- **Mailing address phone:** (228) 206-0542
- **Mailing address fax:** (228) 206-0550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 18668 | MS | Yes |

## Other

- **Enumeration date:** 02/26/2017
- **Last updated:** 02/26/2017