Organization
BENEFICENT MIND & BODY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE WACKER NP (NURSE PRACTITIONER)
(424) 262-2627
Entity
Organization
Contact information
Practice address
390 N ORANGE AVE STE 2300-N, ORLANDO, FL 32801-1640
(424) 262-2627
(779) 204-2274
Mailing address
2497 SW 27TH AVE # 1045, OCALA, FL 34471-0807
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/21/2022
Last updated
07/15/2024
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