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Organization

WELLNESS CENTER 'LIMITED LIABILITY COMPANY'

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HOWARD I MOSKOW A.P., P.T. (MANAGER)
(954) 675-5189
Entity
Organization

Contact information

Practice address
3315 NE 16TH ST, FORT LAUDERDALE, FL 33304-1711
(954) 675-5189
(954) 565-6463
Mailing address
3315 NE 16TH ST, FORT LAUDERDALE, FL 33304-1711
(954) 675-5189
(954) 565-6463

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
AP1364
FL

Other

Enumeration date
01/22/2008
Last updated
01/28/2008
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