# UNIVERSAL MEDICAL AND WELLNESS CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Universal Medical and Wellness Center LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174236566
- **Authorized official:** MRS. MARINA FAY PA-C (PROVIDER)
- **Authorized official phone:** (718) 968-5637

## Contact information

- **Practice address:** 2500 E HALLANDALE BEACH BLVD STE 406, HALLANDALE BEACH, FL 33009-4837
- **Practice address phone:** (718) 968-5637
- **Mailing address:** 600 THREE ISLANDS BLVD APT 812, HALLANDALE BEACH, FL 33009-7809
- **Mailing address phone:** (718) 968-5637

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/30/2022
- **Last updated:** 12/30/2022