National Provider Identifier Database

PALM WELLNESS CENTER LLC
Rehabilitation


Contact Information

PALM WELLNESS CENTER LLC
1004 W. LINEBAUGH AVE
STE #A
TAMPA, FL33612
Phone: 813-443-5370
Fax: 813-443-5604
Website:
Specialty Taxonomy Code
* Rehabilitation 261QR0400X

* Indicates primary specialty

NPI Profile & details for PALM WELLNESS CENTER LLC

NPI Number 1255736831
Legal business name
LBN
PALM WELLNESS CENTER LLC
Authorized official MICHEL REYES - (CEO)
Entity Organization
Organization subpart No
Enumeration date 10/25/2014
Last updated 10/21/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: MM28422

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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