ENDOCRINOLOGY WELLNESS INSTITUTE
Ambulatory Health at Boynton Beach Blvd, Boynton Beach, FL

License number
Florida ME100283
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: VANESSA RODRIGUEZ MD
Title: PRESIDENT
Phone: (765) 404-4136
Address
Address
7545 Boynton Beach Blvd SUITE 102, Boynton Beach, FL 33437
National Provider ID: 1083020895
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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THE ENDOCRINOLOGY WELLNESS INSTITUTE, PA

Boynton Beach, FL  -  Delray Beach, FL

Registration:
Jun 12, 2014
Addresses:
7545 Boynton Bch Blvd SUITE #102, Boynton Beach, FL 33437 (Physical)
1643 E Classical Blvd, Delray Beach, FL 33445 (Mailing)
State ID:
P14000051400
Business type:
Florida Profit Corporation
Presidents:
Md Rodriguez-Cancel, 1643 E Classical Blvd, Delray Beach, FL 33445 (Physical),Vanessa Rodriguez-Cancel (President)
Agent:
Rodriguez-Cancel, Vanessa, Md,1643 E Classical Blvd, Delray Beach, FL 33445 (Physical)
EIN:
47-1138840

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