Organization
MAXIMUM SUSTAINED PERFORMANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER VALLELUNGA (OWNER)
(561) 889-5754
Entity
Organization
Contact information
Practice address
759 SW FEDERAL HWY STE 317, STUART, FL 34994-2923
(305) 209-3633
Mailing address
759 SW FEDERAL HWY STE 317, STUART, FL 34994-2923
(305) 209-3633
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
10/10/2019
Last updated
05/15/2020
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