| MW Wellness II, LLC | |
|
99 Farmington Ave Bristol CT 06010-4226 | |
| (813) 228-6334 | |
| Not Available |
| Full Name | MW Wellness II, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 99 Farmington Ave, Bristol, Connecticut |
| Authorized Official Name and Position | Jodi Despoy (MANAGER) |
| Authorized Official Contact | 8132286334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| MW Wellness II, LLC 509 S Hyde Park Ave Tampa FL 33606-2266 Ph: (813) 228-6763 | MW Wellness II, LLC 99 Farmington Ave Bristol CT 06010-4226 Ph: (813) 228-6334 |
| NPI Number | 1558819201 |
|---|---|
| Provider Enumeration Date | 09/12/2016 |
| Last Update Date | 06/26/2023 |
| Certification Date | 06/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558819201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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