Organization
VIVIRE WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVELYN HERNANDEZ CHC (HEALTH COACH)
(954) 744-5367
Entity
Organization
Contact information
Practice address
5599 S UNIVERSITY DR STE 103, DAVIE, FL 33328-5323
(954) 744-5367
Mailing address
5599 S UNIVERSITY DR STE 103, DAVIE, FL 33328-5323
(954) 744-5367
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
174H00000X
Health Educator
Primary
—
—
2255A2300X
Athletic Trainer
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
05/25/2020
Last updated
05/25/2020
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