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Central Florida Integrated Wellness Clinic Pllc

NPI #1265727861 in Maitland, Florida

Provider Information

NPI Number
1265727861
Entity Type
Organization
Organization Name
Central Florida Integrated Wellness Clinic Pllc
Primary Specialty
Anesthesiology - Pain Medicine
Enumeration Date
Jun 13, 2011
Last Updated
Jun 13, 2011

Practice Location

Address
500 E HORATIO AVE
Address 2
SUITE 5
City
Maitland
State
Florida
ZIP Code
32751-7310
Phone
(407) 629-5333

Authorized Official

Name
DR. CHANNING C. BOLICK, D.C.
Title
MGR
Phone
(407) 629-5333

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