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General NPI Number Information
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NPI Number | 1851263792
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Entity Type | Organization
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Legal Business Name | FELL WELL MED SPA INC
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Dates
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Enumeration Date | 09/20/2025
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Last Update Date | 09/20/2025
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Provider Practice Location Address
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Address Line | 3459 W WOOLBRIGHT RD
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City | BOYNTON BEACH
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State | FL
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Zip | 33436-7246
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Country | US
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Telephone | 561-777-7556
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Fax |
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Provider Business Mailing Address
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Address Line | 14813 PADDOCK DR
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City | WELLINGTON
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State | FL
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Zip | 33414-7868
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Country | US
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Telephone | 305-613-7454
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANIEL WOHLSTEIIN
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Credential |
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Telephone | 305-613-7454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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