Organization
WC WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHIL DETOURNILLON (TREASURER)
(954) 241-0303
Entity
Organization
Contact information
Practice address
600 SW 3RD ST, SUITE 2270, POMPANO BEACH, FL 33060-6932
(954) 241-0303
Mailing address
600 SW 3RD ST, SUITE 2270, POMPANO BEACH, FL 33060-6932
(954) 241-0303
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME63070
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
ARNP1348922
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
ARNP2053552
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
ARNP2876402
FL
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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