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Organization

THE ARK NUTRITION AND WELLNESS CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSHUA GOTHELF PA-C (PHYSICIAN ASSISTANT)
(954) 888-8335
Entity
Organization

Contact information

Practice address
1960 NE 47TH ST STE 102, FT LAUDERDALE, FL 33308-7708
(954) 888-8335
Mailing address
1960 NE 47TH ST STE 102, FT LAUDERDALE, FL 33308-7708
(954) 888-8335

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
PA9109573
FL

Other

Enumeration date
04/19/2017
Last updated
04/19/2017
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