NPI | 1497575294 |
---|---|
Doing Business As | WELLNESS MD AND MED SPA |
Entity Type | Organization |
Authorized Contact | ALEXANDER SPENCE Vice President 850-741-4668 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2024-10-15 |
Last Update Date | 2024-10-15 |