| NPI | 1992022560 | 
|---|---|
| Doing Business As | PHYSICIANS WELLNESS CENTER | 
| Entity Type | Organization | 
| Authorized Contact | JOHN THADDEUS LEGOWIK Owner / Medical Director 407-518-1041 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME25156) | 
| Enumeration Date | 2010-04-22 | 
| Last Update Date | 2010-04-28 |