| NPI | 1992537633 |
|---|---|
| Other Name | BWELL MEDICAL LLC |
| Entity Type | Organization |
| Authorized Contact | LISA J RICHARDS Owner 941-914-4168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-08-19 |