# HERAS WELLNESS GROUP LLC

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

## Provider details

- **NPI number:** 1629814421
- **Authorized official:** JUAN ANTONIO RODRIGUEZ (ADMINISTRATOR)
- **Authorized official phone:** (954) 960-4740

## Contact information

- **Practice address:** 5400 S UNIVERSITY DR STE 118-119, DAVIE, FL 33328-5309
- **Practice address phone:** (786) 835-4078
- **Practice address fax:** (888) 353-5181
- **Mailing address:** 5400 S UNIVERSITY DR STE 118-119, DAVIE, FL 33328-5312
- **Mailing address phone:** (954) 960-4740

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/02/2024
- **Last updated:** 10/05/2026