RENUVA WELLNESS LLC NPI 1487326476

NPI Information

  • NPI: 1487326476
  • Provider Name: RENUVA WELLNESS LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 8910 MIRAMAR PKWY STE 200
    MIRAMAR, FL
    ZIP 33025
  • Phone: (305) 709-8343

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NPI Details

RENUVA WELLNESS LLC is a family nurse practitioner in Miramar, FL. RENUVA WELLNESS LLC NPI is 1487326476. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8910 MIRAMAR PKWY STE 200
MIRAMAR, FL
ZIP 33025-963
Phone: (305) 709-8343

The provider's authorized official is Elsa Ashley Frederic .
The authorized official title is Provider and has the following contact phone number (786) 718-3813.

The enumeration date for this NPI number is 9/29/2021 and was last updated on 9/29/2021.

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 PractitionerFamilyYes

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: 3/30/2025

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