Provider Demographics
NPI:1962273052
Name:M3 TOTAL WELLNESS, LLC
Entity type:Organization
Organization Name:M3 TOTAL WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EVIJOHN
Authorized Official - Middle Name:JESSE
Authorized Official - Last Name:FRANCO
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD, LD/N
Authorized Official - Phone:786-624-9396
Mailing Address - Street 1:5800 LAKESHORE DR APT 320
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312-6621
Mailing Address - Country:US
Mailing Address - Phone:786-624-9396
Mailing Address - Fax:
Practice Address - Street 1:5800 LAKESHORE DR APT 320
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-6621
Practice Address - Country:US
Practice Address - Phone:786-624-9396
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty