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1588232078
MENOVATIONS WELLNESS LLC.
TAMPA, FL
NPI
1588232078
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Entity Type
Organization
Authorized Contact
JOHN SIMUEL BEASLEY
Member
813-474-7122
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2021-06-11
Last Update Date
2021-06-11
Business Address
MENOVATIONS WELLNESS LLC.
1101 E CUMBERLAND AVE STE 201H
TAMPA, FL 33602-4231
Phone number: 813-938-6615
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Mailing Address
MENOVATIONS WELLNESS LLC.
1963 WESTOVER LN NW
KENNESAW, GA 30152-4254
Phone number: 404-990-2238
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