| All Wellness Community Center Inc | |
|
10671 N Kendall Dr Ste 5d Miami FL 33176-1510 | |
| (786) 416-0811 | |
| Not Available |
| Full Name | All Wellness Community Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10671 N Kendall Dr Ste 5d, Miami, Florida |
| Authorized Official Name and Position | Vania Mercedes Simon (PRESIDENT) |
| Authorized Official Contact | 7864160811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| All Wellness Community Center Inc 1150 Nw 72nd Ave Ste 100 Miami FL 33126-1920 Ph: (786) 416-0811 | All Wellness Community Center Inc 10671 N Kendall Dr Ste 5d Miami FL 33176-1510 Ph: (786) 416-0811 |
| NPI Number | 1053902767 |
|---|---|
| Provider Enumeration Date | 01/27/2021 |
| Last Update Date | 09/23/2024 |
| Certification Date | 09/23/2024 |
| Medicare PECOS PAC ID | 8921456229 |
|---|---|
| Medicare Enrollment ID | O20231128000170 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053902767 | NPI | - | NPPES |
| 11801500 | Medicaid | FL |
| Provider Name | Felix Nicolas Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235577164 PECOS PAC ID: 5092038513 Enrollment ID: I20150107002524 |
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