Organization
BANNEL ASSOCIATES LLC
Active
Other names
Bannel Total Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
NELSON GONZALEZ RODRIGUEZ (PRESIDENT)
(407) 350-2120
Entity
Organization
Contact information
Practice address
501 E OAK ST STE F, KISSIMMEE, FL 34744-4554
(407) 955-6719
Mailing address
501 E OAK ST STE F, KISSIMMEE, FL 34744-4554
(407) 955-6719
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/17/2023
Last updated
06/25/2025
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