Organization
MW WELLNESS VIII, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI DESPOY (MANAGER)
(813) 228-6334
Entity
Organization
Contact information
Practice address
155 HAZARD AVE STE 2, ENFIELD, CT 06082
(813) 228-6763
Mailing address
155 HAZARD AVE STE 2, ENFIELD, CT 06082-4586
(813) 228-6763
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/17/2017
Last updated
06/26/2023
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