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Organization
HERAS WELLNESS GROUP LLC
Active
Organization
HERAS WELLNESS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN ANTONIO RODRIGUEZ (ADMINISTRATOR)
(954) 960-4740
Entity
Organization
Contact information
Practice address
5400 S UNIVERSITY DR STE 118-119, DAVIE, FL 33328-5309
(786) 835-4078
(888) 353-5181
Mailing address
5400 S UNIVERSITY DR STE 118-119, DAVIE, FL 33328-5312
(954) 960-4740
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
10/05/2026
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