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Organization
LIFE WELLNESS GROUP
Active
Organization
LIFE WELLNESS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY ROBERTSON DC (OWNER)
(305) 698-4000
Entity
Organization
Contact information
Practice address
14261 COMMERCE WAY STE 203, MIAMI LAKES, FL 33016-1647
(305) 698-4000
(305) 698-4014
Mailing address
14261 COMMERCE WAY STE 203, MIAMI LAKES, FL 33016-1647
(305) 698-4000
(305) 698-4014
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
111NX0800X
Orthopedic Chiropractor
—
—
2084N0400X
Neurology Physician
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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