Organization
COLUMBUS MEDICAL WELLNESS CENTER 4U, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO MONSON MD (OWNER)
(813) 857-2618
Entity
Organization
Contact information
Practice address
3081 ROOSEVELT BLVD, CLEARWATER, FL 33760-3422
(813) 857-2618
Mailing address
3081 ROOSEVELT BLVD, CLEARWATER, FL 33760-3422
(813) 857-2618
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
ME82686
FL
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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