Organization
JCW WELLNESS CLINIC LLC
Active
Organization
JCW WELLNESS CLINIC LLC
Active
Other names
JCW WELLNESS CLINIC LLC
Organization subpart
No
Provider details
NPI number
Authorized official
WISLEY CASANOVA MORENO (OWNER)
(786) 695-2202
Entity
Organization
Contact information
Practice address
7392 NW 35TH TER STE 303, MIAMI, FL 33122-1260
(786) 424-8589
Mailing address
7392 NW 35TH TER STE 303, MIAMI, FL 33122-1260
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
10/01/2024
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