Organization
WELLNESS DEPOT CENTER FL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER MOGILNER (OWNER)
(516) 984-7327
Entity
Organization
Contact information
Practice address
3537 FOREST HILL BLVD STE B, WEST PALM BEACH, FL 33406-5867
(561) 892-6002
Mailing address
3537 FOREST HILL BLVD STE B, WEST PALM BEACH, FL 33406-5867
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/20/2023
Last updated
10/19/2023
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