Organization
EVOLVE HYDRATION AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMEKA CAMPBELL NURSE PRACTITIONER (OWNER)
(407) 353-1336
Entity
Organization
Contact information
Practice address
187 SABAL PALM DR STE 100, LONGWOOD, FL 32779-2595
(407) 353-1336
Mailing address
187 SABAL PALM DR STE 100, LONGWOOD, FL 32779-2595
(407) 353-1336
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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