YOUR SPACE WELLNESS AND CONSULTING LLC (NPI# 1912405614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912405614 |
| Entity Type | Organization |
| Organization Name | YOUR SPACE WELLNESS AND CONSULTING LLC |
| Practice Address |
3580 Mystic Pointe Dr Aventura FL 33180-2554 |
| Practice Telephone | 3053082816 |
| Mailing Telephone | 3053082816 |
| Enumeration Date | 2018-01-28 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | SAMANTHA DRAZIN (OWNER) |
| Authorized Official Telephone | 3053082816 |
| Authorized Official Credential | LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | MH15430 | FL | Managed Care Organizations |
| Street Address |
3580 MYSTIC POINTE DR |
| City | AVENTURA |
| State | FL |
| Zip Code | 33180-2554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215264536 | Reynaldo Lopez | Internal Medicine | 3580 Mystic Pointe Dr, Aventura, FL 33180-2554 | 2009-11-06 |
| 1063025583 | Rodna Francois | Counselor | 3580 Mystic Pointe Dr, Aventura, FL 33180-2554 | 2020-08-25 |
| 1861059768 | Lopezmd | Internal Medicine | 3580 Mystic Pointe Dr, Aventura, FL 33180-2554 | 2019-05-26 |
| 1336622489 | Mental Wellness Clinic, LLC | Counselor | 3580 Mystic Pointe Dr, Aventura, FL 33180-2554 | 2018-09-13 |
| 1821575655 | Lighthouse Wellness & Vitality | Counselor | 3580 Mystic Pointe Dr, Aventura, FL 33180-2554 | 2018-07-24 |
| 1598242851 | Vanessa Arango | Counselor | 3580 Mystic Pointe Dr, Aventura, FL 33180-2554 | 2018-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720607849 | Nabeel Rahman Khan | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Boulevard, Avetura, Fl, Aventura, FL 33180 | 2020-04-09 |
| 1235766841 | Hanny Hausmann | Counselor | 2999 Ne 191 Street, Suite 902, Aventura, FL 33180 | 2020-03-24 |
| 1760976369 | Michael Ernest Molino | Optometrist | 19575 Biscayne Blvd Ste 579, Aventura, FL 33180 | 2018-06-18 |
| 1932602620 | Carmen Somarriba | Physician Assistant | 21110 Biscayne Blvd Bldg Suite400, Aventura, FL 33180 | 2018-03-09 |
| 1235631474 | Premier Florida Podiatry, Pa | Podiatrist | 3060 Ne 190th St Apt 202, Aventura, FL 33180 | 2018-03-04 |
| 1891229126 | Ifrah Zahid Butt | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd., Aventura, FL 33180 | 2017-04-13 |
| 1629500129 | Hector Hugo Gonzalez | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, South Tower, #807, Aventura Hospital and Medical Center, Aventura, FL 33180 | 2017-04-03 |
| 1457892671 | Nusen Beer | Internal Medicine | 20200 W Dixie Hwy Ste 701, Aventura, FL 33180 | 2017-03-20 |
| 1073052338 | Alfa Diagnostic LLC | Point of Service | 21355 E Dixie Hwy Ste 101, Aventura, FL 33180 | 2017-02-20 |
| 1598211740 | Katherine Mendez-martinez | Nurse Practitioner | 2925 Aventura Blvd. Suite 101, Aventura, FL 33180 | 2016-08-28 |
| Find all providers in zip 33180 | ||||
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629575139 | 3rd Party Api | Point of Service | 20801 Biscayne Blvd Ste 100, Aventura, FL 33180-1422 | 2018-04-11 |
| 1073052338 | Alfa Diagnostic LLC | Point of Service | 21355 E Dixie Hwy Ste 101, Aventura, FL 33180 | 2017-02-20 |
| 1295195964 | Treat Md | Point of Service | 20807 Biscayne Blvd, 304, Aventura, FL 33180-1406 | 2016-02-24 |
| 1023354347 | Vilma Biaggi Pa | Point of Service | 21355 E Dixie Hwy Ste 117, Aventura, FL 33180-1244 | 2012-12-13 |
| 1952760647 | Dr. T. Taylor, LLC | Point of Service | 20772 W Dixie Hwy, Aventura, FL 33180-1146 | 2016-02-23 |
| 1790150274 | Milfrane Miot-aristide, Arnp | Point of Service | 20900 Biscayne Blvd, Aventura, FL 33180-1407 | 2015-12-09 |
| 1689924292 | Breast Diagnostics | Point of Service | 21355 E Dixie Hwy, #117, Aventura, FL 33180-1238 | 2012-09-12 |
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|---|---|---|---|---|
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| 1184236192 | Blu Dog Solutions LLC | Point of Service | 8801 Hunters Lake Dr Apt 922, Tampa, FL 33647-2858 | 2020-08-20 |
| 1235747239 | The Minority Alliance for Advocating Community Awareness and Action, I | Point of Service | 1720 S Gadsden St Ste 223, Tallahassee, FL 32301-5506 | 2020-07-16 |
| 1760009831 | National Ancillary Network Solutions, LLC | Point of Service | 1117 Pinellas Bayway S. #307, St. Petersburg, FL 33715 | 2020-07-06 |
| 1427686559 | Bsms Pembroke LLC | Point of Service | 12592 Pines Blvd, Pembroke Pines, FL 33027-1760 | 2020-04-01 |
| 1447897590 | Horizon Health Management & Consulting Group of Florida | Point of Service | 7826 W Irlo Bronson Memorial Hwy, Kissimmee, FL 34747-1735 | 2019-12-09 |
| 1467095604 | Kelley Sgroi Lmhc, LLC | Point of Service | 252 W Marion Ave Ste 1134, Punta Gorda, FL 33950-4442 | 2019-10-21 |
| 1972163079 | Numethodsmd LLC | Point of Service | 5975 Sunset Dr Ste 605, South Miami, FL 33143-5174 | 2019-06-19 |
| 1619537313 | Priority Imaging | Point of Service | 880 Nw 13th St Ste 101, Boca Raton, FL 33486-2342 | 2019-06-17 |
| 1902364813 | Advance Medical & Administrative Support Usa LLC | Point of Service | 5940 Pelican Bay Plz S Apt 306, Gulfport, FL 33707-3956 | 2019-03-10 |
| Find all providers with the same taxonomy | ||||
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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.