Organization
BWELL MEDICAL LLC
Active
Other names
BWell Medical LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LISA J RICHARDS NP (OWNER)
(941) 914-4168
Entity
Organization
Contact information
Practice address
14846 TAMIAMI TRL, NORTH PORT, FL 34287-2701
(941) 914-4168
Mailing address
4578 N BISCAYNE DR, NORTH PORT, FL 34291-7081
(813) 409-6931
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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