Organization
ADVANCED WELLNESS SERVICES CORP
Active
Other names
Advanced Wellness Services Corp
Organization subpart
No
Provider details
NPI number
Authorized official
ANABEL FERNANDEZ (MANAGER)
(786) 536-2945
Entity
Organization
Contact information
Practice address
14100 PALMETTO FRNTG RD STE 107, MIAMI LAKES, FL 33016-1568
(786) 536-2945
(786) 565-3955
Mailing address
14100 PALMETTO FRNTG RD STE 112, MIAMI LAKES, FL 33016-1568
(786) 536-2945
(786) 565-3955
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113667200
—
FL
Enumeration date
08/05/2022
Last updated
10/29/2024
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