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 |