| Atlantean Wellness, Llc | |
|
22119 Elmira Blvd Port Charlotte FL 33952-7018 | |
| (941) 264-4899 | |
| Not Available |
| Full Name | Atlantean Wellness, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 22119 Elmira Blvd, Port Charlotte, Florida |
| Authorized Official Name and Position | Meredith Wilber (OWNER) |
| Authorized Official Contact | 9412644899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantean Wellness, Llc Po Box 7505 North Port FL 34290-0505 Ph: (941) 264-4899 | Atlantean Wellness, Llc 22119 Elmira Blvd Port Charlotte FL 33952-7018 Ph: (941) 264-4899 |
| NPI Number | 1104601384 |
|---|---|
| Provider Enumeration Date | 08/28/2023 |
| Last Update Date | 08/28/2023 |
| Certification Date | 08/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104601384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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