Organization
FLORENCE WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB HALPERT (SECRETARY)
(607) 738-6356
Entity
Organization
Contact information
Practice address
101 E WASHINGTON ST FL 7, PHOENIX, AZ 85004-2450
(202) 893-7910
(202) 893-8809
Mailing address
1802 FOUNDATION LN STE 225, CHICO, CA 95928-9217
(202) 893-7910
(202) 893-8809
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/08/2020
Last updated
07/10/2020
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