| NPI | 1053190611 |
|---|---|
| Doing Business As | PREMIER WELLNESS FLORIDA |
| Entity Type | Organization |
| Authorized Contact | NATALIE V ALANEZ Physician's Assistant 239-695-8446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2023-09-25 |