Organization
WILSON SHULTERBRANDT HOLDINGS, LLC
Active
Organization
WILSON SHULTERBRANDT HOLDINGS, LLC
Active
Other names
The Anti-Aging Clinic of Northwest Florida
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL SHULTERBRANDT (CO-OWNER)
(985) 517-4561
Entity
Organization
Contact information
Practice address
13569 PANAMA CITY BEACH PKWY, PANAMA CITY BEACH, FL 32407-2847
(850) 238-8563
(850) 238-8564
Mailing address
3316 CHARLES CT, CHALMETTE, LA 70043-2615
(985) 517-4561
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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