| Neuro Well Spa | |
|
2579 Oak St Kissimmee FL 34744-4946 | |
| (787) 596-0358 | |
| Not Available |
| Full Name | Neuro Well Spa |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2579 Oak St, Kissimmee, Florida |
| Authorized Official Name and Position | Leslie Esther Dominguez (CEO) |
| Authorized Official Contact | 7875960358 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuro Well Spa 4014 W Vine St Apt 113b Kissimmee FL 34741-4686 Ph: (787) 596-0358 | Neuro Well Spa 2579 Oak St Kissimmee FL 34744-4946 Ph: (787) 596-0358 |
| NPI Number | 1841084399 |
|---|---|
| Provider Enumeration Date | 04/08/2025 |
| Last Update Date | 04/08/2025 |
| Certification Date | 04/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841084399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
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