Organization
ALL WELL MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER PENROD (BILLER)
(305) 900-4715
Entity
Organization
Contact information
Practice address
4303 VINELAND RD STE F9, ORLANDO, FL 32811-7372
(321) 209-8676
(512) 532-0923
Mailing address
4303 VINELAND RD STE F9, ORLANDO, FL 32811-7372
(321) 209-8676
(512) 532-0923
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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