Organization
MAX HEALTH WELLNESS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSMIN RIVERO IZQUIERDO (ADMINISTRATOR)
(813) 542-4228
Entity
Organization
Contact information
Practice address
6105 MEMORIAL HWY STE S, TAMPA, FL 33615-4506
(813) 542-4228
(813) 542-4229
Mailing address
6105 MEMORIAL HWY STE S, TAMPA, FL 33615-4506
(813) 542-4228
(813) 542-4229
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC11203
FL
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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