Medical Wellness Institute of America INC

NPI #1396013272 in Gulf Breeze, Florida

Provider Information

NPI Number: 1396013272
Entity Type: Organization
Organization Name: Medical Wellness Institute of America INC
Primary Specialty: Anesthesiology
Enumeration Date: Dec 7, 2011
Last Updated: Dec 9, 2011

Practice Location

Address: 3575 GULF BREEZE PKWY
City: Gulf Breeze
State: Florida
ZIP Code: 32563-3407
Phone: (850) 932-5767

Authorized Official

Name: JOHN MARK FANNIN, MD
Title: PRESIDENT
Phone: (850) 932-5767

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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