| Innerwellness Solutions Llc | |
|
12555 Orange Dr Ste 268 Davie FL 33330-4304 | |
| (786) 580-2204 | |
| Not Available |
| Full Name | Innerwellness Solutions Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 12555 Orange Dr Ste 268, Davie, Florida |
| Authorized Official Name and Position | Mario I Moreno Godoy (PRESIDENT) |
| Authorized Official Contact | 7865802204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innerwellness Solutions Llc 12555 Orange Dr Ste 268 Davie FL 33330-4304 Ph: (786) 580-2204 | Innerwellness Solutions Llc 12555 Orange Dr Ste 268 Davie FL 33330-4304 Ph: (786) 580-2204 |
| NPI Number | 1487498812 |
|---|---|
| Provider Enumeration Date | 06/20/2024 |
| Last Update Date | 06/20/2024 |
| Certification Date | 06/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487498812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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