PALMETTO LAKES WELLNESS CENTER INC (NPI# 1942694070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942694070 |
| Entity Type | Organization |
| Organization Name | PALMETTO LAKES WELLNESS CENTER INC |
| Practice Address |
5190 Nw 167th St Ste 102 Miami Lakes FL 33014-6329 |
| Practice Telephone | 7869556598 |
| Practice Fax Number | 7869556857 |
| Mailing Telephone | 7869556598 |
| Mailing Fax Number | 7869556857 |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2015-03-26 |
| Authorized Official Name | ANNIA RODRIGUEZ (PRESIDENT) |
| Authorized Official Telephone | 7869556598 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
5190 NW 167TH ST STE 102 |
| City | MIAMI LAKES |
| State | FL |
| Zip Code | 33014-6329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568083830 | Mj Pharmacy & Discount LLC | Pharmacy | 1545 West 62nd Street, Suite 62, Hialeah, FL 33014 | 2020-04-28 |
| 1699301333 | Alexander Tamayo Ochoa | Nurse Practitioner | 5400 Nw 159 St Apt 123, Hialeah, FL 33014 | 2020-03-13 |
| 1609336114 | Edward Alexander Pardo | Counselor | 6225 Miami Lakes Drive, Hialeah, FL 33014 | 2019-03-21 |
| 1780158394 | Remedys Nutrition Cv | Pharmacy | 7331 Miami Lakes Dr, Miami Lakes, FL 33014 | 2019-01-16 |
| 1962993642 | Yuleika Rodriguez Gonzalez | Behavior Technician | 6961 W 14th Ct Apt 203, Hialeah, FL 33014 | 2018-05-29 |
| 1730676719 | Bright Steps Therapy Services LLC | Physical Therapy Assistant | 1900 W 68th St Apt E306, Hialeah, FL 33014 | 2018-04-16 |
| 1093211443 | One Soul Cmh Inc | Case Management | 5803 Nw 151st St Ste 202, Miami Lakes, FL 33014 | 2018-04-04 |
| 1528560331 | Yuramis Perez Salvador | Behavior Technician | 8365 W 18 Lane Dr, Hialeah, FL 33014 | 2018-03-07 |
| 1396253613 | Miami Lakes Behavioral Services Corp | Behavioral Analyst | 6001 Nw 153rd Street, Suite 157, Miami Lakes, FL 33014 | 2018-01-22 |
| 1447768452 | Ballast Medical Management, LLC. | Exclusive Provider Organization | 6001 Nw 153rd St Ste 100, Miami Lakes, FL 33014 | 2018-01-12 |
| Find all providers in zip 33014 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083223432 | South Florida Primary Care Practice Corp | Clinic/Center | 8053 Nw 155th St, Miami Lakes, FL 33016-5874 | 2020-07-30 |
| 1164086815 | Prohealth Medical Rehabilitation Inc. | Clinic/Center | 5190 Nw 167th St Ste 304, Miami Lakes, FL 33014-6338 | 2019-04-29 |
| 1114495694 | Novenna Medical Group Inc | Clinic/Center | 5979 Nw 151 St Ste 110, Miami Lakes, FL 33014-2448 | 2018-11-02 |
| 1780197152 | Complete Care Management Services Aco LLC | Clinic/Center | 6625 Miami Lakes Dr Ste 247, Miami Lakes, FL 33014-2768 | 2017-11-08 |
| 1194111211 | Manent Medical Center Inc | Clinic/Center | 5190 Nw 167th St Ste 310, Miami Lakes, FL 33014-6338 | 2015-04-15 |
| 1245622406 | Banner Medical Center Corp | Clinic/Center | 6447 Miami Lakes Dr E Ste 222e, Miami Lakes, FL 33014-2764 | 2015-02-25 |
| 1982039442 | Krystal Rehabilitation Services, Corp | Clinic/Center | 6187 Nw 167th St Ste H13, Miami Lakes, FL 33015-4308 | 2013-09-03 |
| 1659611507 | Universal Medical Services Corp | Clinic/Center | 5901 Nw 151st St Ste 103, Miami Lakes, FL 33014-2428 | 2013-02-28 |
| 1376852178 | Lakes Imaging Services Inc | Clinic/Center | 6001 Nw 153rd St Ste 154, Miami Lakes, FL 33014-2447 | 2010-09-28 |
| 1710370473 | Universal Medical of Miami Corp | Clinic/Center | 5901 Nw 151st St Ste 103, Miami Lakes, FL 33014-2428 | 2015-03-05 |
| Find all providers in MIAMI LAKES | ||||
| City | MIAMI LAKES |
| Zip Code | 33014 |
Please comment or provide details below to improve the information on PALMETTO LAKES WELLNESS CENTER INC.
| 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.