Organization
PERSONAL WELLNESS MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LEGGETT (PRACTICE MANAGER)
(941) 685-8914
Entity
Organization
Contact information
Practice address
3231 GULF GATE DR STE 102, SARASOTA, FL 34231-2406
(941) 685-8914
(941) 349-9301
Mailing address
651 SE 41ST AVE, TRENTON, FL 32693-5003
(941) 685-8914
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
—
—
Other
Enumeration date
01/30/2021
Last updated
01/30/2021
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