Organization
MD FAMILY & WELLNESS, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLEVY DOMINGUEZ APRN (CEO)
(407) 686-2940
Entity
Organization
Contact information
Practice address
5963 NW BAYNARD DR, PORT SAINT LUCIE, FL 34986-3604
(407) 686-2940
(772) 404-7918
Mailing address
5963 NW BAYNARD DR, PORT SAINT LUCIE, FL 34986-3604
(407) 686-2940
(772) 404-7918
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/25/2025
Last updated
11/25/2025
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