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Organization
MOTION WELLNESS LLC
Active
Organization
MOTION WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD J FONTAINE III DC (CEO/OWNER)
(401) 641-3421
Entity
Organization
Contact information
Practice address
510 SW 5TH TER # B, WILLISTON, FL 32696-2548
(352) 528-5433
Mailing address
510 SW 5TH TER # B, WILLISTON, FL 32696-2548
(352) 528-5433
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851660617
—
FL
Enumeration date
07/10/2023
Last updated
07/10/2023
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