Organization
THE INSTITUTE FOR WELLBEING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS PAMELA ROSS PA-C (OWNER)
(386) 763-2338
Entity
Organization
Contact information
Practice address
802 DUNLAWTON AVE, SUITE 102, PORT ORANGE, FL 32127-4931
(386) 763-2338
Mailing address
802 DUNLAWTON AVE, SUITE 102, PORT ORANGE, FL 32127-4931
(386) 763-2338
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
12/05/2008
Last updated
05/20/2009
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