REVITALIZING LIFESTYLE MEDICINE LLC

KISSIMMEE, FL
NPI1598542763
Entity TypeOrganization
Authorized ContactMICHAEL MCGOWAN
Owner
321-442-0192
Organization Subpart ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2023-09-12
Last Update Date2023-11-13
Business Address
REVITALIZING LIFESTYLE MEDICINE LLC
111 E MONUMENT AVE UNIT 324
KISSIMMEE, FL 34741-5771
Phone number: 321-442-0192
Mailing Address
REVITALIZING LIFESTYLE MEDICINE LLC
111 E MONUMENT AVE UNIT 324
KISSIMMEE, FL 34741-5771
Phone number: 321-442-0192
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