Organization
OLIVE BRANCH TOTAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIA SPICER-THOMAS APRN (OWNER)
(561) 223-9161
Entity
Organization
Contact information
Practice address
281 SARATOGA BLVD E, ROYAL PALM BEACH, FL 33411-8282
(973) 807-8790
Mailing address
281 SARATOGA BLVD E, ROYAL PALM BEACH, FL 33411-8282
(973) 807-8790
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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