Organization
TGWC DETOX
Active
Other names
THE GARDENS WELLNESS CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE MELENDEZ (DIRECTOR)
(786) 671-3267
Entity
Organization
Contact information
Practice address
16565 NE TH AVENUE, NORTH MIAMI, FL 33162
(305) 944-1516
Mailing address
16565 NE TH AVENUE, NORTH MIAMI, FL 33162
(305) 944-1516
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
ND5691
FL
133V00000X
Registered Dietitian
ND5691
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ND5691
DIETITIAN/NUTRITIONIST
FL
Enumeration date
10/06/2015
Last updated
10/06/2015
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