Organization
ASCEND WELLNESS FLORIDA LLC
Active
Other names
Ascend Wellness Florida
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN WILLIAM MILLER CPT, CNC (CEO)
(631) 912-6418
Entity
Organization
Contact information
Practice address
32 KILLARNEY AVE, SAINT JOHNS, FL 32259-9155
(631) 912-6418
Mailing address
32 KILLARNEY AVE, SAINT JOHNS, FL 32259-9155
(631) 912-6418
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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