Organization
INTEGRATED MEDICAL WELLNESS LLC
Active
Organization
INTEGRATED MEDICAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS KELLERMAN DC (OWNER)
(914) 589-9891
Entity
Organization
Contact information
Practice address
410 NE 44TH ST, OAKLAND PARK, FL 33334-1423
(915) 899-8914
Mailing address
410 NE 44TH ST, OAKLAND PARK, FL 33334-1423
(915) 899-8914
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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