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Organization

TOP WELLNESS CENTER CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YUDANY DE LAS CASAS DORTA (PRESIDENT)
(813) 999-8034
Entity
Organization

Contact information

Practice address
610 W WATERS AVE STE J, TAMPA, FL 33604-2951
(813) 999-8034
Mailing address
610 W WATERS AVE STE J, TAMPA, FL 33604-2951
(813) 999-8034

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
10691
FL

Other

Enumeration date
12/16/2016
Last updated
12/16/2016
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