Organization
GULFPORT WELLNESS CENTER INC
Active
Other names
Health Fit M.D. Wellness & Weight Loss
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW JOSEPH SHANNON (PRESIDENT/CFO)
(501) 339-6067
Entity
Organization
Contact information
Practice address
12261 HIGHWAY 49, SUITE 6, GULFPORT, MS 39503-2975
(228) 206-0542
(228) 206-0550
Mailing address
12261 HIGHWAY 49, SUITE 6, GULFPORT, MS 39503-2975
(228) 206-0542
(228) 206-0550
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
18668
MS
Other
Enumeration date
02/26/2017
Last updated
02/26/2017
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