Organization
GWYN FELLER, DOM, AP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWYN PURDUE FELLER DOM, AP (OWNER/SOLE MEMBER)
(727) 458-3942
Entity
Organization
Contact information
Practice address
2575 HARN BLVD, CLEARWATER, FL 33764-3211
(727) 458-3942
Mailing address
10919 111TH ST, LARGO, FL 33778-4004
(727) 458-3942
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP2804
FL
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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