Organization
WELLNESS WALK DPM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEJANDRO R GONZALEZ BALLAGAS DPM (OWNER)
(786) 630-0330
Entity
Organization
Contact information
Practice address
14332 NW 87TH CT, MIAMI LAKES, FL 33018-8044
(786) 630-0330
Mailing address
14332 NW 87TH CT, MIAMI LAKES, FL 33018-8044
(786) 630-0330
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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