# SENIOR WELLNESS SOLUTION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053658740
- **Authorized official:** AVEREL SNYDER MD (CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (404) 210-5993

## Contact information

- **Practice address:** 1000 5TH ST, SUITE 200, MIAMI BEACH, FL 33139-6508
- **Practice address phone:** (404) 210-5993
- **Mailing address:** 5369 BROOKE FARM DR, DUNWOODY, GA 30338-3150
- **Mailing address phone:** (404) 210-5993

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | — |

## Other

- **Enumeration date:** 01/15/2013
- **Last updated:** 01/15/2013