Organization
AWAKEN INTEGRATIVE WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE ANTHONY WILLIAMS DAOM (OWNER/ PROVIDER)
(727) 203-5128
Entity
Organization
Contact information
Practice address
735 ARLINGTON AVE N STE 209, ST PETERSBURG, FL 33701-3653
(727) 203-5128
Mailing address
735 ARLINGTON AVE N STE 209, ST PETERSBURG, FL 33701-3653
(727) 203-5128
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
09/06/2023
Last updated
08/31/2024
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