Active NPI
Senior Wellness Solution
- General Practice Physician
- Miami Beach, FL
National Provider Identifier
1053658740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- SENIOR WELLNESS SOLUTION
- Practice address
- 1000 5TH St
Suite 200
Miami Beach, FL 33139-6508 - Phone
- (404) 210-5993
- NPI assigned
- Jan 15, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Averel Snyder, MD
- Title
- Chief Medical Officer
- Phone
- (404) 210-5993
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary | ||
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X |
Addresses
Primary practice location
1000 5TH St
Suite 200
Miami Beach, FL 33139-6508
Mailing address
5369 Brooke Farm Dr
Dunwoody, GA 30338-3150
Phone (404) 210-5993
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1358208000000",
"number": "1053658740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5369 BROOKE FARM DR",
"city": "DUNWOODY",
"state": "GA",
"postal_code": "303383150",
"telephone_number": "404-210-5993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 5TH ST",
"address_2": "SUITE 200",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331396508",
"telephone_number": "404-210-5993"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIOR WELLNESS SOLUTION",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-15",
"last_updated": "2013-01-15",
"status": "A",
"authorized_official_last_name": "SNYDER",
"authorized_official_first_name": "AVEREL",
"authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
"authorized_official_telephone_number": "404-210-5993",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "208G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.