Organization
NIKKEN WELLNESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HERNANDO FERNANDEZ MA 61484 (OWNER)
(954) 239-8528
Entity
Organization
Contact information
Practice address
901 S STATE ROAD 7, 430, HOLLYWOOD, FL 33023-6700
(954) 239-8528
(954) 239-8845
Mailing address
901 S STATE ROAD 7, 430, HOLLYWOOD, FL 33023-6700
(954) 239-8528
(954) 239-8845
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
MA61484
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MM27002
FLORIDA DPT OF HEALTH
FL
Enumeration date
06/23/2011
Last updated
06/23/2011
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