| Advanced Wellness Services Corp | |
|
14100 Palmetto Frntg Rd Ste 107 Miami Lakes FL 33016-1568 | |
| (786) 536-2945 | |
| (786) 565-3955 |
| Full Name | Advanced Wellness Services Corp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 14100 Palmetto Frntg Rd Ste 107, Miami Lakes, Florida |
| Authorized Official Name and Position | Anabel Fernandez (MANAGER) |
| Authorized Official Contact | 7865362945 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Wellness Services Corp 14100 Palmetto Frntg Rd Ste 112 Miami Lakes FL 33016-1568 Ph: (786) 536-2945 | Advanced Wellness Services Corp 14100 Palmetto Frntg Rd Ste 107 Miami Lakes FL 33016-1568 Ph: (786) 536-2945 |
| NPI Number | 1942937255 |
|---|---|
| Provider Enumeration Date | 08/05/2022 |
| Last Update Date | 10/29/2024 |
| Certification Date | 10/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942937255 | NPI | - | NPPES |
| 113667200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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