SOUTH FLORIDA HEALTH AND WELLNESS CENTER CORP NPI 1750966818

NPI Information

NPI: 1750966818
Provider Name: SOUTH FLORIDA HEALTH AND WELLNESS CENTER CORP
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 10D2244183

Address:
3017 EXECUTIVE COURT
WEST PALM BEACH, FL
ZIP 33409
Phone: (305) 206-2553
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SOUTH FLORIDA HEALTH AND WELLNESS CENTER CORP is a primary care clinic center in West Palm Beach, FL. SOUTH FLORIDA HEALTH AND WELLNESS CENTER CORP NPI is 1750966818. The provider is registered as an organization entity type.

The provider's business location address is:

3017 EXECUTIVE COURT
WEST PALM BEACH, FL
ZIP 33409
Phone: (305) 206-2553

The provider's authorized official is Lizet Dibernardo .
The authorized official title is Ceo and has the following contact phone number (954) 732-9817.

The CLIA number assigned to this NPI record is 10D2244183 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/10/2021 and was last updated on 2/22/2024.

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	Primary
1	251K00000X	Public Health or Welfare		No
2	261QC1500X	Clinic/Center	Community Health	No
3	261QM1300X	Clinic/Center	Multi-Specialty	No
4	261QP2300X	Clinic/Center	Primary Care	Yes

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: 4/28/2024

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