Organization
TYMINSKI MODERN WELLNESS LLC
Active
Other names
Rise Modern Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH TYMINSKI (OWNER)
(407) 844-0552
Entity
Organization
Contact information
Practice address
400 N ORLANDO AVE STE 113, MAITLAND, FL 32751-4705
(407) 232-6044
Mailing address
400 N ORLANDO AVE STE 113, MAITLAND, FL 32751-4705
(407) 232-6044
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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