NEW IDENTITY WELLNESS CENTER LLC

MIRAMAR, FL
NPI1558984971
Entity TypeOrganization
Authorized ContactCARILYN/LENON HERNANDEZ/JUAN
Owners
786-804-9405
Organization Subpart ?No
Primary Taxonomy251S00000X 
Enumeration Date2020-05-20
Last Update Date2020-09-30
Business Address
NEW IDENTITY WELLNESS CENTER LLC
14601 SW 29TH ST STE 107
MIRAMAR, FL 33027-4715
Phone number: 786-804-9405
Mailing Address
NEW IDENTITY WELLNESS CENTER LLC
14601 SW 29TH ST STE 107
MIRAMAR, FL 33027-4715
Phone number: 786-804-9405
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