Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nutrition, Education |
133NN1002X |
| NPI Number | 1629327465 |
| LBN Legal business name | BOCA WELLNESS, INC. |
| Authorized official | KAREN REYNOLDS - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/07/2012 |
| Last updated | 09/07/2012 - About 14 years ago |
| Identifiers | n/a |
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