Organization
FAJARDO WELLNESS CENTER LLC
Active
Other names
Easter Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANA LLANES PORTO MT (OWNER)
(786) 970-9177
Entity
Organization
Contact information
Practice address
7235 CORAL WAY STE 202, MIAMI, FL 33155-1451
(786) 432-9108
(786) 432-9109
Mailing address
7235 CORAL WAY STE 202, MIAMI, FL 33155-1451
(786) 432-9108
(786) 432-9109
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
04/24/2024
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