Organization
DYNAMIC WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS ALONZO (MANAGER)
(305) 316-4559
Entity
Organization
Contact information
Practice address
9370 SW 72ND ST STE A212-B, MIAMI, FL 33173-5431
(786) 401-6722
Mailing address
9370 SW 72ND ST STE A212-B, MIAMI, FL 33173-5431
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/25/2017
Last updated
05/25/2017
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