Organization
GLOWU HOLDINGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT WILLIS MD (MEDICAL)
(754) 242-1876
Entity
Organization
Contact information
Practice address
141 NW 20TH ST, BOCA RATON, FL 33431-7966
(267) 969-1493
Mailing address
141 NW 20TH ST, BOCA RATON, FL 33431-7966
(267) 969-1493
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
01/30/2024
Last updated
02/12/2024
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