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NPI Code Detail

MEDICARE: WESTFIELD WELLNESS CENTER INC

MEDICARE: WESTFIELD WELLNESS CENTER INC
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
1171100000XAcupuncturistAP 2613FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1AP2613OTHERFLFL LICENSE

General Provider Information

NPI Number : 1619282274
Entity Type Code : Organization
Provider Name (Legal Business Name) : WESTFIELD WELLNESS CENTER INC
Provider Business Mailing Address
First Line : 1303 HOMESTEAD RD N STE 102
Second Line :
City : LEHIGH ACRES
State : FL
Zip : 33936-6049
Country : US
Telephone Number : 239-303-1139
Fax Number : 239-303-1839
Provider Business Practice Location Address
First Line : 1303 HOMESTEAD RD N STE 102
Second Line :
City : LEHIGH ACRES
State : FL
Zip : 33936-6049
Country : US
Telephone Number : 239-303-1139
Fax Number : 239-303-1839
Authorized Official
Title or Position : PRESIDENT
Name : CHERYL L TURNER
Credential : LIC. ACUPUNTURIST
Telephone Number : 239-303-1139
Provider Enumeration Date : 08/07/2010
Last Update Date : 08/07/2010

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Directions to “WESTFIELD WELLNESS CENTER INC ” Practice Location

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