Organization
M.D. WELLNESS CENTERS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARLA LAVOICE (PRESIDENT)
(305) 342-9797
Entity
Organization
Contact information
Practice address
1131 NE 163RD ST, NORTH MIAMI BEACH, FL 33162-4502
(305) 342-9797
Mailing address
PO BOX 140819, CORAL GABLES, FL 33114-0819
(305) 342-9797
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
PO 2963
FL
213ER0200X
Radiology Podiatrist
PO 2963
FL
213ES0000X
Sports Medicine Podiatrist
PO 2963
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO 2963
FL
Other
Enumeration date
06/15/2006
Last updated
03/02/2011
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