Organization
BOUNTIFUL WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIKKE BROOKS BROOKS THERAPIST (DIRECTOR)
(954) 242-4988
Entity
Organization
Contact information
Practice address
4010 INVERRARY BLVD, 9A, LAUDERHILL, FL 33319-4319
(954) 242-4988
Mailing address
4010 INVERRARY BLVD, 9A, LAUDERHILL, FL 33319-4319
(954) 242-4988
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
IMT1950
FL
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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