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Organization
XANTOS WELLNESS LLC
Active
Organization
XANTOS WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERARDO RODRIGUEZ (PRESIDENT)
(305) 506-5219
Entity
Organization
Contact information
Practice address
7000 W 12TH AVE STE 15, HIALEAH, FL 33014-5154
(305) 395-4919
(305) 395-4920
Mailing address
2645 SW 37TH AVE STE 101, MIAMI, FL 33133-2744
(786) 530-4080
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/27/2025
Last updated
06/30/2026
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