Organization
ADVANCED WELLNESS SERVICES CORP
Active
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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