Organization
WELLNESS MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANABEL DIAZ (OWNER)
(305) 746-5424
Entity
Organization
Contact information
Practice address
2500 NW 79TH AVE STE 233, DORAL, FL 33122-1086
(786) 209-0022
Mailing address
9600 NW 25TH ST STE 6A, DORAL, FL 33172-1416
(305) 631-2095
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/15/2021
Last updated
07/16/2024
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