Provider Demographics
NPI:1831805621
Name:DRIPPING WELLNESS LLC
Entity type:Organization
Organization Name:DRIPPING WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:GRACIELA
Authorized Official - Middle Name:N/A
Authorized Official - Last Name:PALACIOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-724-4889
Mailing Address - Street 1:9301 SW 92ND AVE APT C120
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2126
Mailing Address - Country:US
Mailing Address - Phone:305-724-4889
Mailing Address - Fax:
Practice Address - Street 1:9301 SW 92ND AVE APT C120
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2126
Practice Address - Country:US
Practice Address - Phone:305-724-4889
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-25
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty