| Envision Wellness Co. | |
|
1900 Sw 57th Ave Ste 2 Miami FL 33155-2170 | |
| (305) 501-0133 | |
| Not Available |
| Full Name | Envision Wellness Co. |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1900 Sw 57th Ave Ste 2, Miami, Florida |
| Authorized Official Name and Position | Erika Martinez (PRESIDENT) |
| Authorized Official Contact | 3055010133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Envision Wellness Co. 1900 Sw 57th Ave Ste 2 Miami FL 33155-2170 Ph: (305) 501-0133 | Envision Wellness Co. 1900 Sw 57th Ave Ste 2 Miami FL 33155-2170 Ph: (305) 501-0133 |
| NPI Number | 1982017513 |
|---|---|
| Provider Enumeration Date | 06/11/2014 |
| Last Update Date | 10/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982017513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PY 8965 (Florida) | Primary |
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