Organization
MW WELLNESS II, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI DESPOY (MANAGER)
(813) 228-6334
Entity
Organization
Contact information
Practice address
99 FARMINGTON AVE, BRISTOL, CT 06010-4226
(813) 228-6334
Mailing address
509 S HYDE PARK AVE, TAMPA, FL 33606-2266
(813) 228-6763
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/12/2016
Last updated
06/26/2023
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