Organization
SUMMIT WELLNESS SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAVIER SANTIAGO (OWNER/CEO)
(813) 857-1794
Entity
Organization
Contact information
Practice address
204 MORNINGVIEW DR, EUSTIS, FL 32726-4277
(813) 857-1794
Mailing address
204 MORNINGVIEW DR, EUSTIS, FL 32726-4277
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/25/2021
Last updated
04/25/2021
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