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1306301635
WELLSPRING PRESERVATION MEDICAL VACATION BOUTIQUE & SPA, LLC
MIAMI, FL
NPI
1306301635
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Entity Type
Organization
Authorized Contact
SOPHIA M FERGUSON
Agacnp Bc
786-261-9088
Organization Subpart ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
Enumeration Date
2019-01-31
Last Update Date
2019-01-31
Business Address
WELLSPRING PRESERVATION MEDICAL VACATION BOUTIQUE & SPA, LLC
14051 SW 152ND TER
MIAMI, FL 33177-0910
Phone number: 786-261-9088
Copy
Mailing Address
WELLSPRING PRESERVATION MEDICAL VACATION BOUTIQUE & SPA, LLC
14051 SW 152ND TER
MIAMI, FL 33177-0910
Phone number: 786-261-9088
Copy
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