Organization
360 METROWEST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCY MIELZ (BILLING MANAGER)
(561) 482-1144
Entity
Organization
Contact information
Practice address
1701 PARK CENTER DR STE 130, ORLANDO, FL 32835-6235
(407) 704-8000
(407) 704-8314
Mailing address
9858 CLINT MOORE RD # C111-274, BOCA RATON, FL 33496-1034
(561) 482-1144
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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