Organization
HEMWELL LLC
Active
Parent organization
HEMWELL LLC
Other names
HemWell South Tampa
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEMWELL LLC
Authorized official
ROB SULZER (COO)
(855) 697-9355
Entity
Organization
Contact information
Practice address
2919 W SWANN AVE, STE 106, TAMPA, FL 33609-4038
(855) 697-9355
(866) 435-4017
Mailing address
4809 N ARMENIA AVE, STE 230, TAMPA, FL 33603-1447
(855) 697-9355
(866) 435-4017
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0095X
FL BLUE
FL
Enumeration date
03/16/2016
Last updated
03/16/2016
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