Organization
BWELL MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN SHIELDS JIMENEZ APRN (CEO/OWNER)
(305) 951-4499
Entity
Organization
Contact information
Practice address
10500 NW 26TH ST STE A102, DORAL, FL 33172-2158
(305) 646-1799
Mailing address
10500 NW 26TH ST STE A102, DORAL, FL 33172-2158
(305) 646-1799
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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