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NPI Code Detail

MEDICARE: WELLCOME OM INTEGRAL HEALING & EDUCATION CENTER, LLC

MEDICARE: WELLCOME OM INTEGRAL HEALING & EDUCATION CENTER, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175F00000XNaturopath

General Provider Information

NPI Number : 1508404237
Entity Type Code : Organization
Provider Name (Legal Business Name) : WELLCOME OM INTEGRAL HEALING & EDUCATION CENTER, LLC
Provider Business Mailing Address
First Line : 4242 LAKE IN THE WOODS DR
Second Line :
City : SPRING HILL
State : FL
Zip : 34607-2501
Country : US
Telephone Number : 352-600-4242
Fax Number :
Provider Business Practice Location Address
First Line : 4242 LAKE IN THE WOODS DR
Second Line :
City : SPRING HILL
State : FL
Zip : 34607-2501
Country : US
Telephone Number : 352-600-4242
Fax Number :
Authorized Official
Title or Position : MGR
Name : MARIA G SCUNZIANO-SINGH
Credential : MD
Telephone Number : 352-600-4242
Provider Enumeration Date : 12/12/2019
Last Update Date : 12/12/2019

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