| Fresh Solutions Wellness Services & Consulting, Llc | |
|
5245 N University Dr Ste A Lauderhill FL 33351-5017 | |
| (754) 213-1619 | |
| Not Available |
| Full Name | Fresh Solutions Wellness Services & Consulting, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5245 N University Dr Ste A, Lauderhill, Florida |
| Authorized Official Name and Position | Elimay Lois Maxwell (MANAGER/OWNER) |
| Authorized Official Contact | 7542131619 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Solutions Wellness Services & Consulting, Llc 403 Sw 61st Ter Margate FL 33068-1716 Ph: (954) 993-1578 | Fresh Solutions Wellness Services & Consulting, Llc 5245 N University Dr Ste A Lauderhill FL 33351-5017 Ph: (754) 213-1619 |
| NPI Number | 1386241933 |
|---|---|
| Provider Enumeration Date | 10/07/2020 |
| Last Update Date | 04/03/2023 |
| Certification Date | 04/03/2023 |
| Medicare PECOS PAC ID | 5597175182 |
|---|---|
| Medicare Enrollment ID | O20201111000106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386241933 | NPI | - | NPPES |
| 115481800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Elimay Lois Maxwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689137341 PECOS PAC ID: 9931519527 Enrollment ID: I20201111000195 |
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