Organization
WELLNESS MEDICAL GROUP LLC
Active
Parent organization
WELLNESS MEDICAL GROUP LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLNESS MEDICAL GROUP LLC
Authorized official
ANABEL DIAZ (OWNER)
(305) 746-5424
Entity
Organization
Contact information
Practice address
2500 NW 79TH AVE STE 189, DORAL, FL 33122-1083
(786) 209-0022
Mailing address
4440 PGA BLVD STE 410, PALM BEACH GARDENS, FL 33410-6544
(786) 569-3793
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/07/2022
Last updated
07/16/2024
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