SOUTH FLORIDA NEURO WELLNESS CENTERS LLC (NPI# 1245782176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245782176 |
| Entity Type | Organization |
| Organization Name | SOUTH FLORIDA NEURO WELLNESS CENTERS LLC |
| Practice Address |
5337 Orange Dr Davie FL 33314-3815 |
| Mailing Address |
6191 Orange Dr Davie FL 33314-3449 |
| Practice Telephone | 9542840025 |
| Practice Fax Number | 9542524037 |
| Mailing Telephone | 9542840025 |
| Mailing Fax Number | 9542524037 |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2017-04-24 |
| Authorized Official Name | MRS. SHELLY LAHN (OWNER) |
| Authorized Official Telephone | 9542840025 |
| Authorized Official Credential | MBR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
MT3051 | FL | Behavioral Health & Social Service Providers |
| N | 103G00000X | Clinical Neuropsychologist | PY6992 | FL | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PY6992 | FL | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | MT2760 | FL | Behavioral Health & Social Service Providers |
| Y | 305S00000X | Point of Service | FL | Managed Care Organizations |
| Street Address |
5337 ORANGE DR |
| City | DAVIE |
| State | FL |
| Zip Code | 33314-3815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073670808 | Elaine Karbonik | Psychologist | 5337 Orange Dr, Davie, FL 33314-3815 | 2007-01-02 |
| 1588017123 | Elaine Karbonik Psyd Pa | Community/Behavioral Health | 5337 Orange Dr, Davie, FL 33314-3815 | 2016-07-19 |
| 1477901320 | Rachelle Weiss | Counselor | 5337 Orange Dr, Davie, FL 33314-3815 | 2016-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386119949 | Tiffany Allen | Case Manager/Care Coordinator | 6602 Sw 41st Street, Davie, FL 33314 | 2018-10-10 |
| 1053804047 | Shannon Stowe | Specialist/Technologist | 3160 Palm Trace Landings Dr Apt 731, Davie, FL 33314 | 2018-06-13 |
| 1700374238 | Christian D Cameron | Developmental Therapist | 5900 Sw 24th Pl Unit 203, Davie, FL 33314 | 2018-04-30 |
| 1902308836 | Infusion Nurse Experts LLC | Home Health | 4802 Sw 51st Street, Davie, FL 33314 | 2018-03-07 |
| 1134658495 | Luz Arevalo | Behavioral Analyst | 6630 Sw 41 Pl, Davie, FL 33314 | 2017-06-08 |
| 1194253815 | Migdalis Padron | Behavior Technician | 4491 Sw 52nd Ct Apt 8, Fort Lauderdale, FL 33314 | 2017-05-25 |
| 1710240833 | Victor Pabon | Adult Companion | 4828 Sw 47 Lane, Davie, FL 33314 | 2012-06-22 |
| 1437433802 | Laura Maritsa Canciani | Counselor | 6005 Stirling Road #124, Davie, FL 33314 | 2011-10-04 |
| 1770729840 | Therapeeds, Inc. | Occupational Therapist | 5951 Orange Drive, Davie, FL 33314 | 2008-12-19 |
| 1861690851 | Craig Alan Handwerker | Counselor | 4200 Sw 54th Ct, Fort Lauderdale, FL 33314 | 2007-07-11 |
| Find all providers in zip 33314 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.