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Organization

EIR WELLNESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARY JOYCE GAN MD (MD)
(863) 825-6121
Entity
Organization

Contact information

Practice address
802 TUSCANNY ST, BRANDON, FL 33511-6151
(863) 825-6121
Mailing address
802 TUSCANNY ST, BRANDON, FL 33511-6151

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2080P0205X
Pediatric Endocrinology Physician
Primary

Other

Enumeration date
08/08/2022
Last updated
11/28/2022
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