Organization
FLORIDA WELLNESS CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANIS GOMEZ (PRESIDANT)
(813) 605-0781
Entity
Organization
Contact information
Practice address
4311 W. WATERS AVE, SUITE 310, TAMPA, FL 33614
(813) 605-0781
(813) 605-0782
Mailing address
4311 W. WATERS AVE, SUITE 310, TAMPA, FL 33614
(813) 605-0781
(813) 605-0782
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
MM 32182
FL
261QP2000X
Physical Therapy Clinic/Center
Primary
MM35115
FL
Other
Enumeration date
04/30/2014
Last updated
07/21/2022
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