Organization
FAMILY WELLNESS AND AESTHETIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FANUEL DORILAS (PRESIDENT)
(954) 478-2041
Entity
Organization
Contact information
Practice address
7800 W OAKLAND PARK BLVD STE B105, SUNRISE, FL 33351-6741
(954) 890-3902
(954) 999-0230
Mailing address
7800 W OAKLAND PARK BLVD STE B105, SUNRISE, FL 33351-6741
(954) 890-3892
(954) 999-0230
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/27/2019
Last updated
02/18/2025
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