# FIVE ELEMENT WELLNESS CENTER INC

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

## Provider details

- **NPI number:** 1568807006
- **Authorized official:** MRS. MONIQUE GUSMAO BAIN AP (OWNER/PHYSICIAN)
- **Authorized official phone:** (954) 657-8342

## Contact information

- **Practice address:** 7310 W MCNAB RD, SUITE \#107, TAMARAC, FL 33321-5332
- **Practice address phone:** (954) 657-8342
- **Practice address fax:** (954) 657-8615
- **Mailing address:** 7310 W MCNAB RD, SUITE \#107, TAMARAC, FL 33321-5332
- **Mailing address phone:** (954) 657-8342
- **Mailing address fax:** (954) 657-8615

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | FL | — |
| 171100000X | Acupuncturist | AP2304 | FL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 225100000X | Physical Therapist | PT1921 | FL | — |

## Other

- **Enumeration date:** 05/09/2013
- **Last updated:** 12/16/2014