# SOUTHDADE WELLNESS, INC

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

## Provider details

- **NPI number:** 1174449599
- **Authorized official:** SEIDEL NARANJO VELEZ (OWNER)
- **Authorized official phone:** (786) 886-6108

## Contact information

- **Practice address:** 8300 SW 8TH ST STE 105, MIAMI, FL 33144-4100
- **Practice address phone:** (786) 542-5794
- **Practice address fax:** (786) 542-5830
- **Mailing address:** 8300 SW 8TH ST STE 105, MIAMI, FL 33144-4100
- **Mailing address phone:** (786) 542-5794
- **Mailing address fax:** (786) 542-5830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 06/29/2026
- **Last updated:** 06/29/2026
