| MW Wellness Ventures IV LLC | |
|
370 Faunce Corner Rd Dartmouth MA 02747-1271 | |
| (813) 228-6334 | |
| Not Available |
| Full Name | MW Wellness Ventures IV LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 370 Faunce Corner Rd, Dartmouth, Massachusetts |
| Authorized Official Name and Position | Stacey Heald (MANAGER) |
| Authorized Official Contact | 8132286334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| MW Wellness Ventures IV LLC 509 S Hyde Park Ave Tampa FL 33606-2266 Ph: (813) 228-6334 | MW Wellness Ventures IV LLC 370 Faunce Corner Rd Dartmouth MA 02747-1271 Ph: (813) 228-6334 |
| NPI Number | 1194308494 |
|---|---|
| Provider Enumeration Date | 05/04/2021 |
| Last Update Date | 05/04/2021 |
| Certification Date | 05/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194308494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207QB0002X | Family Medicine - Obesity Medicine | () | Secondary |
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