Organization
AWA PRIMARY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARILMA MILAGROS WONG ARJONA NP (CEO)
(407) 579-1616
Entity
Organization
Contact information
Practice address
97 NIEMIRA AVE APT E, INDIALANTIC, FL 32903-2936
(407) 579-1616
(855) 642-2122
Mailing address
200 N PALM AVE UNIT 33451, INDIALANTIC, FL 32903-5019
(407) 579-1616
(833) 450-4891
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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