# WELLNESS CENTER 'LIMITED LIABILITY COMPANY'

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

## Provider details

- **NPI number:** 1114104031
- **Authorized official:** MR. HOWARD I MOSKOW A.P., P.T. (MANAGER)
- **Authorized official phone:** (954) 675-5189

## Contact information

- **Practice address:** 3315 NE 16TH ST, FORT LAUDERDALE, FL 33304-1711
- **Practice address phone:** (954) 675-5189
- **Practice address fax:** (954) 565-6463
- **Mailing address:** 3315 NE 16TH ST, FORT LAUDERDALE, FL 33304-1711
- **Mailing address phone:** (954) 675-5189
- **Mailing address fax:** (954) 565-6463

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | AP1364 | FL | Yes |

## Other

- **Enumeration date:** 01/22/2008
- **Last updated:** 01/28/2008