Organization
TARGET WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE R ELLERT ARNP (OWNER)
(407) 473-7545
Entity
Organization
Contact information
Practice address
713 PARK VALLEY CIR, MINNEOLA, FL 34715-7952
(407) 473-7545
(352) 536-2087
Mailing address
713 PARK VALLEY CIR, MINNEOLA, FL 34715-7952
(407) 473-7545
(352) 536-2087
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
ARNP 2166292
FL
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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