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General NPI Number Information
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NPI Number | 1285225730
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Entity Type | Organization
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Legal Business Name | WELLMAX HEALTH MEDICAL CENTERS, LLC
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Dates
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Enumeration Date | 01/28/2021
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Last Update Date | 03/03/2021
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Provider Practice Location Address
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Address Line | 2601 S MILITARY TRL # 100
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City | WEST PALM BEACH
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State | FL
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Zip | 33415-7510
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Country | US
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Telephone | 855-935-5629
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Fax |
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Provider Business Mailing Address
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Address Line | 9250 W FLAGLER ST STE 600
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City | MIAMI
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State | FL
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Zip | 33174-3460
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIR. PRACTIC MANAGEMENT
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Name | VANESSA VILLALI
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Credential |
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Telephone | 305-586-7288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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