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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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