Professional Wellness Associates LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

PROFESSIONAL WELLNESS ASSOCIATES LLC

Practice address

16855 NE 2ND Ave Ste 101
North Miami Beach, FL 33162-1744

Phone

(305) 705-3455

NPI assigned

May 10, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ivar Dobelis

Title

Cfo

Phone

(718) 757-4272

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1043894660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16855 NE 2ND AVE STE 101",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331621744",
            "telephone_number": "305-705-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16855 NE 2ND AVE STE 101",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331621744",
            "telephone_number": "305-705-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL WELLNESS ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "DOBELIS",
        "authorized_official_first_name": "IVAR",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "718-757-4272",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primary Foot Care Center, Inc.
• Private Healthcare Facilities
• Garri Priyampolskiy, MD
• Procare Health Center Inc
• Professional Home Health Services LLC
• Promed Medical Supplies Inc
• Dolores Prudent, MD
• PRX Inc
• Psychawareness, Inc.
• Public Health Trust of Dade County Florida

• Rehabilitation Clinic/Center in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.