Organization
PINK PETAL HEALTH AND WELLNESS CENTER, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENEE WAUGH DNP, APRN (NURSE PRACTITIONER)
(954) 399-8793
Entity
Organization
Contact information
Practice address
9937 PINES BLVD, PEMBROKE PINES, FL 33024-6175
(954) 399-8793
(954) 637-2020
Mailing address
9937 PINES BLVD, PEMBROKE PINES, FL 33024-6175
(954) 399-8793
(954) 637-2020
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/16/2020
Last updated
08/17/2022
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