Organization
BODY & SOLE WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YANA NICOLE BLAISE ARNP, DNP (PRESIDENT)
(954) 243-9946
Entity
Organization
Contact information
Practice address
8585 SUNSET DR STE 103, MIAMI, FL 33143-3753
(954) 243-9946
Mailing address
9640 NW 10TH CT, PLANTATION, FL 33322-4851
(954) 243-9946
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9279753
FL
Other
Enumeration date
11/27/2017
Last updated
11/27/2017
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