Organization
MW WELLNESS VENTURES I, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI DESPOY (MANAGER)
(813) 228-6334
Entity
Organization
Contact information
Practice address
24 ORCHARD VIEW DR STE 2, LONDONDERRY, NH 03053-3376
(813) 228-6334
Mailing address
509 S HYDE PARK AVE, TAMPA, FL 33606-2266
(813) 228-6334
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/08/2018
Last updated
03/30/2023
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