Organization
FIVE ELEMENT WELLNESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONIQUE GUSMAO BAIN AP (OWNER/PHYSICIAN)
(954) 657-8342
Entity
Organization
Contact information
Practice address
7310 W MCNAB RD, SUITE #107, TAMARAC, FL 33321-5332
(954) 657-8342
(954) 657-8615
Mailing address
7310 W MCNAB RD, SUITE #107, TAMARAC, FL 33321-5332
(954) 657-8342
(954) 657-8615
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
FL
171100000X
Acupuncturist
Primary
AP2304
FL
207Q00000X
Family Medicine Physician
—
—
225100000X
Physical Therapist
PT1921
FL
Other
Enumeration date
05/09/2013
Last updated
12/16/2014
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