Organization
PALMETTO LAKES WELLNESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNIA RODRIGUEZ (PRESIDENT)
(786) 955-6598
Entity
Organization
Contact information
Practice address
5190 NW 167TH ST STE 102, MIAMI LAKES, FL 33014-6329
(786) 955-6598
(786) 955-6857
Mailing address
5190 NW 167TH ST STE 102, MIAMI LAKES, FL 33014-6329
(786) 955-6598
(786) 955-6857
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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