| Tristar Wellness, Llc | |
|
400 W 41st St Ste 402 Miami Beach FL 33140-3500 | |
| (305) 604-9595 | |
| (305) 604-9257 |
| Full Name | Tristar Wellness, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 W 41st St Ste 402, Miami Beach, Florida |
| Authorized Official Name and Position | Reanna Ramkhelawan (PRESIDENT) |
| Authorized Official Contact | 7862812398 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tristar Wellness, Llc 400 W 41st St Ste 402 Miami Beach FL 33140-3500 Ph: (305) 604-9595 | Tristar Wellness, Llc 400 W 41st St Ste 402 Miami Beach FL 33140-3500 Ph: (305) 604-9595 |
| NPI Number | 1235641770 |
|---|---|
| Provider Enumeration Date | 10/24/2017 |
| Last Update Date | 04/08/2019 |
| Medicare PECOS PAC ID | 7416298906 |
|---|---|
| Medicare Enrollment ID | O20190410001765 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235641770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Felix M Ramirez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538149836 PECOS PAC ID: 5294716197 Enrollment ID: I20040526001373 |
| Provider Name | Rudolph Eberwein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821182791 PECOS PAC ID: 6507801032 Enrollment ID: I20050624000123 |
| Provider Name | Jeffrey D Kamlet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124034673 PECOS PAC ID: 0749296820 Enrollment ID: I20060227000516 |
| Provider Name | Lior Uriel Elkayam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598808180 PECOS PAC ID: 8820287014 Enrollment ID: I20110104000342 |
| Provider Name | Denise M Josey |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1376801589 PECOS PAC ID: 3274806070 Enrollment ID: I20190408000272 |
| Provider Name | Amber Cotton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255755864 PECOS PAC ID: 4789926478 Enrollment ID: I20190429002672 |
| Provider Name | Diana C Aristizabal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710450523 PECOS PAC ID: 2062747546 Enrollment ID: I20190708000290 |
| Provider Name | Naomi Kira White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518437755 PECOS PAC ID: 3577898329 Enrollment ID: I20190716001983 |
| Provider Name | Jenna Megan Niefeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942565668 PECOS PAC ID: 6103255856 Enrollment ID: I20200401002735 |
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