Organization
WELLB4LIFE,LLC
Active
Organization
WELLB4LIFE,LLC
Active
Other names
WELLB4LIFE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DR. COLLEEN GALVIN PA DACM PHD (MANAGER, PRACTIONER)
(415) 404-2567
Entity
Organization
Contact information
Practice address
2805 FRUITVILLE RD, SARASOTA, FL 34237-5378
(415) 404-2567
Mailing address
15 PARADISE PLZ STE 389, SARASOTA, FL 34239-6905
(415) 404-2567
Taxonomy
Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
—
—
261QC1500X
Community Health Clinic/Center
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
11/22/2024
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