| St Johns Wellness Group | |
|
7950 Sw 30th St Ste 200 Davie FL 33328-1979 | |
| (888) 674-0160 | |
| (888) 467-1802 |
| Full Name | St Johns Wellness Group |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 7950 Sw 30th St Ste 200, Davie, Florida |
| Authorized Official Name and Position | Sebastian Ahmed (EXEC) |
| Authorized Official Contact | 8886740160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Johns Wellness Group 7950 Sw 30th St Ste 200 Davie FL 33328-1979 Ph: (888) 674-0160 | St Johns Wellness Group 7950 Sw 30th St Ste 200 Davie FL 33328-1979 Ph: (888) 674-0160 |
| NPI Number | 1306094586 |
|---|---|
| Provider Enumeration Date | 08/31/2008 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306094586 | NPI | - | NPPES |
| DQ5523 | Other | FL | RR MEDICARE |
| 001991000 | Medicaid | FL | |
| 98322 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 602238 (Florida) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | 0601 (Florida) | Primary |
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