NPI 1093306292

Personal Wellness Medicine, LLC

Organisation Prevention Professional Sarasota, FL

Practice location

Address: 3231 Gulf Gate Dr STE 102, Sarasota, FL 34231-2406
Phone: (941) 685-8914
Fax: (941) 349-9301
Mailing address: 651 SE 41st Ave, Trenton, FL 32693-5003

Authorised official

Name: David Leggett
Title: Practice Manager
Phone: (941) 685-8914

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X

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Registry record

NPI: 1093306292
Entity type: Organization
NPI issued: 30 Jan 2021
Record last updated: 30 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.