| NPI | 1407406820 |
|---|---|
| Doing Business As | FLORIDA WELLNESS GROUP |
| Entity Type | Organization |
| Authorized Contact | EVAN ELLENBERG President 850-588-1066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2024-11-21 |