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Organization
VIP WELLNESS CENTER LLC
Active
Organization
VIP WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOURDES M SARDINAS LMT (CEO)
(239) 333-9092
Entity
Organization
Contact information
Practice address
3222 HILLSDALE LN, KISSIMMEE, FL 34741-7562
(407) 350-2120
Mailing address
2685 MAXWELL CT W, KISSIMMEE, FL 34743-5629
(239) 333-9092
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
10/19/2021
Last updated
06/15/2023
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