SOUTH FLORIDA WELLNESS CENTER INC (NPI# 1578013686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578013686 |
| Entity Type | Organization |
| Organization Name | SOUTH FLORIDA WELLNESS CENTER INC |
| Practice Address |
4100 S Hospital Dr Suite 102 Plantation FL 33317-2813 |
| Practice Telephone | 9549905922 |
| Practice Fax Number | 9543573624 |
| Mailing Telephone | 9549905922 |
| Mailing Fax Number | 9543573624 |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2017-05-05 |
| Authorized Official Name | ROBERT ANTOINE (CEO) |
| Authorized Official Telephone | 9543006045 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
4100 S HOSPITAL DR SUITE 102 |
| City | PLANTATION |
| State | FL |
| Zip Code | 33317-2813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043209125 | Mohammed I Baig | Internal Medicine | 4100 S Hospital Dr, Ste 300, Plantation, FL 33317-2813 | 2005-10-20 |
| 1730549411 | Pro Rehab Group Corp | Clinic/Center | 4100 S Hospital Dr, Suite 100, Plantation, FL 33317-2813 | 2016-02-24 |
| 1003225475 | Physicians Care Clinic LLC | Clinic/Center | 4100 S Hospital Dr, Suite #111, Plantation, FL 33317-2813 | 2014-08-10 |
| 1710169909 | Delisa Skeete Henry Pa | Obstetrics & Gynecology | 4100 S Hospital Dr, Ste # 111, Plantation, FL 33317-2813 | 2007-11-29 |
| 1699988923 | Mohammed I. Baig M.d. Pa | Internal Medicine | 4100 S Hospital Dr, Suite 300, Plantation, FL 33317-2813 | 2007-05-07 |
| 1043430424 | Marye Thompson Shelton | Pharmacist | 4100 S Hospital Dr, Suite 309, Plantation, FL 33317-2813 | 2007-04-26 |
| 1699812560 | Dorothy Viola Straw | Pediatrics | 4100 S Hospital Dr, Ste 110, Plantation, FL 33317-2813 | 2007-01-31 |
| 1013006899 | Doh Broward County Public Health Unit | Clinic/Center | 4100 S Hospital Dr, Suite 309, Plantation, FL 33317-2813 | 2006-10-12 |
| 1417068651 | Dee-car Inc. | Pharmacy | 4100 S Hospital Dr, Suite 101, Plantation, FL 33317-2813 | 2006-08-31 |
| 1770690570 | Ronald A George | Dentist | 4100 S Hospital Dr, Suite 107, Plantation, FL 33317-2813 | 2006-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704434 | Md Now Medical Centers Inc | Clinic/Center | 4640 W Commercial Blvd, Tamarac, FL 33317 | 2019-08-06 |
| 1902348675 | Atroypen Group, Inc | Case Management | 4330 W Broward Blvd Ste R, Plantation, FL 33317 | 2016-11-13 |
| 1417329665 | Marie Eronne Jean Charles | Nurse Practitioner | 6901 Cypress Road, Plantation, FL 33317 | 2015-10-28 |
| 1871977025 | Yanliceth Rodriguez | Clinic/Center | 4430 Sw 22nd Ct, Ft Lauderdale, FL 33317 | 2015-07-17 |
| 1710361472 | Melissa Coffman | Physician Assistant | 960 Sw 74th Avenue, Plantation, FL 33317 | 2015-07-13 |
| 1134511058 | Emad Ziaden | Physical Therapist | 747 S. State Rd 7, Plantation, FL 33317 | 2015-03-02 |
| 1760880710 | Michael Robert Tanguay | Orthotist | 450 North State Road 7, Plantation, FL 33317 | 2014-12-08 |
| 1821427675 | Mankame, Dipak M., D.d.s., P.a. | Dentist | 300 N.w. 70th Ave Suite 109, Plantation, FL 33317 | 2013-11-02 |
| 1679828826 | Kozy Kove Assisted Living Facility | Assisted Living Facility | 490 Nw 45 Terr, Plantation, FL 33317 | 2012-07-13 |
| 1205102845 | Aratha Franklin Dixon | Psychologist | 4121 Nw 5th # 207, Plantation, FL 33317 | 2012-03-28 |
| Find all providers in zip 33317 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
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| 1720612013 | New Perspective Mental Health LLC | Psychiatry & Neurology | 6141 Sw 72nd St Ste 402, South Miami, FL 33143-5026 | 2020-02-26 |
| 1972165231 | Blossoming Wellbeing Corp. | Psychiatry & Neurology | 6622 32nd Way S, St Petersburg, FL 33712-5408 | 2019-07-07 |
| 1104391648 | Summit Detox | Psychiatry & Neurology | 3330 S. Federal Highway, 3rd Floor, Boynton Beach, FL 33435 | 2018-10-11 |
| 1679057814 | United Health and Wellness Group, Inc. | Psychiatry & Neurology | 201 N Federal Hwy Ste 105, Deerfield Beach, FL 33441-3621 | 2018-09-24 |
| 1467934224 | Arh Medical Group LLC | Psychiatry & Neurology | 631 Us Highway 1 Ste 409, North Palm Beach, FL 33408-4621 | 2018-08-29 |
| 1255879060 | Round Care, Inc | Psychiatry & Neurology | 300 W Sunrise Blvd Ste 3, Ft Lauderdale, FL 33311-6200 | 2017-02-01 |
| 1154766541 | Paul Roberts | Psychiatry & Neurology | 8529 Southpark Cir, Suite 270, Orlando, FL 32819-9029 | 2013-04-30 |
| 1386910172 | Siddharth Singh Arora | Psychiatry & Neurology | 1811 S Orlando Ave Ste A, Cocoa Beach, FL 32931-2340 | 2012-03-27 |
| 1194010694 | Laurie Ann Solomon | Psychiatry & Neurology | 100 Newell Dr # L4100, Gainesville, FL 32611-1912 | 2011-06-13 |
| Find all providers with the same taxonomy | ||||
| City | PLANTATION |
| Zip Code | 33317 |
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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.