Organization
PHOENIX WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA M. ORTIZ (OWNER)
(786) 830-0212
Entity
Organization
Contact information
Practice address
13356 SW 128TH ST STE 4, MIAMI, FL 33186-5807
(786) 830-0212
Mailing address
13356 SW 128TH ST STE 4, MIAMI, FL 33186-5807
(786) 830-0212
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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