Organization
SOLUTIONS WELLNESS CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUMBERTO M MOLGORA LMT (OWNER)
(786) 285-8181
Entity
Organization
Contact information
Practice address
3408 W 84TH ST STE 112, HIALEAH GARDENS, FL 33018-4941
(954) 224-3423
(954) 874-6223
Mailing address
3408 W 84TH ST STE 112, HIALEAH GARDENS, FL 33018-4941
(954) 224-3423
(954) 874-6223
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
MM27802
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C101D
BCBS OF FLORIDA
FL
05
—
MA1540500
—
FL
Enumeration date
09/26/2011
Last updated
06/14/2012
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