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1255045209
AMPLIFIED VITALITY WELLNESS CLINIC, LLC
OAKLAND PARK, FL
NPI
1255045209
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Entity Type
Organization
Authorized Contact
CHRISTOPHER PAUL LACROSS
Medical Director
603-303-3660
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2023-01-12
Last Update Date
2023-01-12
Business Address
AMPLIFIED VITALITY WELLNESS CLINIC, LLC
3401 N DIXIE HWY
OAKLAND PARK, FL 33334-2839
Phone number: 954-667-3385
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Mailing Address
AMPLIFIED VITALITY WELLNESS CLINIC, LLC
312 NE 26TH ST
WILTON MANORS, FL 33305-1137
Phone number: 603-303-3660
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