COMPLECARE WELLNESS LLC NPI 1467129304

NPI Information

  • NPI: 1467129304
  • Provider Name: COMPLECARE WELLNESS LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • :
  • Address: 9900 W SAMPLE RD STE 203-51
    CORAL SPRINGS, FL
    ZIP 33065
  • Phone: (954) 866-0810

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NPI Details

COMPLECARE WELLNESS LLC is a psychiatric/mental health nurse practitioner in Coral Springs, FL. COMPLECARE WELLNESS LLC NPI is 1467129304. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

9900 W SAMPLE RD STE 203-51
CORAL SPRINGS, FL
ZIP 33065-048
Phone: (954) 866-0810
Fax: (877) 552-0976

The provider's authorized official is Roseline Raphael .
The authorized official title is Ceo/nurse Practitioner and has the following contact phone number (954) 866-0810.

The enumeration date for this NPI number is 8/27/2021 and was last updated on 6/23/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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