Organization
TAMIAMI WELLNESS CLUB
Active
Organization
TAMIAMI WELLNESS CLUB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIRAMAD SAINZ MA (MANAGER)
(305) 982-8771
Entity
Organization
Contact information
Practice address
14255 SW 42ND ST # B-13, MIAMI, FL 33175-6408
(305) 982-8771
(305) 402-6110
Mailing address
14255 SW 42ND ST 13B, MIAMI, FL 33175-6408
(305) 982-8771
(305) 402-6110
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108308300
—
FL
Enumeration date
10/08/2020
Last updated
10/22/2021
Update your record
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