Organization
BEWELL MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANY GONZALEZ APRN (OWNER)
(786) 797-9475
Entity
Organization
Contact information
Practice address
4700 SHERIDAN ST STE R, HOLLYWOOD, FL 33021-3416
(786) 797-9475
Mailing address
7012 NW 179TH ST APT 208, HIALEAH, FL 33015-5416
(786) 797-9475
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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