| NPI | 1942937255 |
|---|---|
| Former Legal Business Name | ADVANCED WELLNESS SERVICES CORP |
| Entity Type | Organization |
| Authorized Contact | ANABEL FERNANDEZ Manager 786-536-2945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2022-08-05 |