NPI | 1932848801 |
---|---|
Doing Business As | ST. CHARLES WELLNESS CENTER LLC |
Entity Type | Organization |
Authorized Contact | ROSITA ATILUS Provider 786-259-2966 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
363L00000X Nurse Practitioner | |
Enumeration Date | 2022-05-31 |
Last Update Date | 2022-07-15 |