Organization
PROFESSIONAL WELLNESS ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IVAR DOBELIS (CFO)
(718) 757-4272
Entity
Organization
Contact information
Practice address
16855 NE 2ND AVE STE 101, NORTH MIAMI BEACH, FL 33162-1744
(305) 705-3455
Mailing address
16855 NE 2ND AVE STE 101, NORTH MIAMI BEACH, FL 33162-1744
(305) 705-3455
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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