Organization
WELLNOS PLLC
Active
Other names
Physical Therapy Now Sunrise
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA LEA FONDA (CREDENTIALING DIRECTOR)
(305) 517-1219
Entity
Organization
Contact information
Practice address
4490 N UNIVERSITY DR, LAUDERHILL, FL 33351-4513
(754) 701-7274
(954) 453-6065
Mailing address
4490 N UNIVERSITY DR, LAUDERHILL, FL 33351-4513
(754) 701-7274
(954) 453-6065
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
225100000X
Physical Therapist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH8692
MEDICAL LICENSE
FL
01
—
PT33616
PT LICENSE
FL
Enumeration date
01/10/2020
Last updated
04/01/2021
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