Organization
WEPELLET BRADENTON LLC
Active
Parent organization
WEPELLET LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEPELLET LLC
Authorized official
JACLYN SHEDDEN ARNP (DIRECTOR OF CLINICAL SERVICES)
(833) 939-3553
Entity
Organization
Contact information
Practice address
1003 8TH AVE W, BRADENTON, FL 34205-7709
(833) 937-3553
Mailing address
1003 8TH AVE W, BRADENTON, FL 34205-7709
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
0S10018
FL
Other
Enumeration date
12/26/2017
Last updated
12/26/2017
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