BLUE ZONE WELLNESS CENTER (NPI# 1699032680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699032680 |
| Entity Type | Organization |
| Organization Name | BLUE ZONE WELLNESS CENTER |
| Practice Address |
1488 S Palm Ave Pembroke Pines FL 33025-5520 |
| Practice Telephone | 9543679015 |
| Mailing Telephone | 9543679015 |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2012-04-16 |
| Authorized Official Name | IRICA DORE (OWNER) |
| Authorized Official Telephone | 9542135903 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA50141 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1488 S PALM AVE |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33025-5520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033429733 | Irica Elana Dore | Massage Therapist | 1488 S Palm Ave, Pembroke Pines, FL 33025-5520 | 2010-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538702329 | Ashley V Carter | Nutritionist | 3803 Sw 93rd Ave, Miramar, FL 33025 | 2019-10-24 |
| 1477024305 | Jeff Rocker | Counselor | 10700 City Center Blvd Apt 5245, Pembroke Pines, FL 33025 | 2018-12-17 |
| 1760959779 | Spring Health Inc | In Home Supportive Care | 1799 Sw 82nd Pl, Miramar, FL 33025 | 2018-10-28 |
| 1649763004 | Ann-marie Elizabeth Pryce | Nurse Practitioner | 8942 Sw 19th St, Miramar, FL 33025 | 2018-06-11 |
| 1588154876 | Michelle Angelle Crawford | Behavior Technician | 10630 Washington St Apt 103, Pembroke Pines, FL 33025 | 2018-05-14 |
| 1598267809 | Lydia Rosa Malcolm | Psychologist | 11820 Miramar Pkwy Ste 309, Miramar, FL 33025 | 2018-03-02 |
| 1447760657 | At Talitha Cumi Home Care, Inc. | Homemaker | 3140 Sw 120 Terr, Miramar, FL 33025 | 2017-10-03 |
| 1962924522 | Yenni Celina Cueto | Behavioral Analyst | 720 Sw 111th Ave Apt 303, Pembroke Pines, FL 33025 | 2017-07-14 |
| 1093236713 | Manoucheca Fabienne Phanord | Nurse Practitioner | 11575 City Hall Promenade, #4-150, Miramar, FL 33025 | 2017-07-03 |
| 1659801439 | Desiree Verina Nugent | Family Medicine | 3772 Sw 93rd Ave, Miramar, FL 33025 | 2017-06-14 |
| Find all providers in zip 33025 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043824709 | Michael Garcia | Massage Therapist | 8920 Nw 15th Ct, Pembroke Pines, FL 33024-4607 | 2020-09-01 |
| 1568075448 | Cindy Samperi Danoff | Massage Therapist | 15691 Nw 12th Pl, Pembroke Pines, FL 33028-1618 | 2020-08-28 |
| 1952824542 | Chantelle Joy Kurtz | Massage Therapist | 20170 Pines Blvd Ste 301, Pembroke Pines, FL 33029-1262 | 2017-07-25 |
| 1740672161 | Nouvelle Vie Therapy, Corp. | Massage Therapist | 916 Nw 167th Ave, Pembroke Pines, FL 33028-1478 | 2015-02-22 |
| 1558771691 | Kamala Wright | Massage Therapist | 1157 Sw 123rd Ave, Bldg 35-1157, Pembroke Pines, FL 33025-5772 | 2014-04-29 |
| 1770882276 | Lilliam Madic | Massage Therapist | 230 Nw 218th Ter, Pembroke Pines, FL 33029-1093 | 2011-03-23 |
| 1629376231 | Yolanda Ramos Cruz | Massage Therapist | 17650 Sw 4th Ct, Pembroke Pines, FL 33029-4014 | 2011-03-06 |
| 1033429733 | Irica Elana Dore | Massage Therapist | 1488 S Palm Ave, Pembroke Pines, FL 33025-5520 | 2010-10-14 |
| 1205062569 | Celia H Handwohl | Massage Therapist | 8103 S Palm Dr, # 230, Pembroke Pines, FL 33025-4533 | 2009-06-01 |
| 1134360449 | Dionne Maxine Sutherland | Massage Therapist | 8650 Taft St, Pembroke Pines, FL 33024-4846 | 2009-03-16 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33025 |
Please comment or provide details below to improve the information on BLUE ZONE WELLNESS CENTER.
| 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.