Organization
DOWNTOWN WELLNESS CENTER CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER J GORDILLO (PRESIDENT)
(305) 372-2390
Entity
Organization
Contact information
Practice address
210 NE 18TH ST STE 2, MIAMI, FL 33132-1118
(305) 372-2390
(305) 372-2460
Mailing address
210 NE 18TH ST STE 2, MIAMI, FL 33132-1118
(305) 372-2390
(305) 372-2460
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
HCC6760
FL
Other
Enumeration date
09/27/2006
Last updated
08/22/2020
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