| 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 |