South Florida Neuro Wellness Centers LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

SOUTH FLORIDA NEURO WELLNESS CENTERS LLC

Practice address

5337 Orange Dr
Davie, FL 33314-3815

Phone

(954) 284-0025

Fax

(954) 252-4037

NPI assigned

Oct 26, 2016

Last updated

Apr 24, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Shelly Lahn, MBR

Title

Owner

Phone

(954) 284-0025

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1245782176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6191 ORANGE DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333143449",
            "telephone_number": "954-284-0025",
            "fax_number": "954-252-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5337 ORANGE DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333143815",
            "telephone_number": "954-284-0025",
            "fax_number": "954-252-4037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA NEURO WELLNESS CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "LAHN",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-284-0025",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBR"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MT3051",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY6992",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6992",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT2760",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Florida Cardiology Associates LLC
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• South Florida Counseling Agency, Inc
• South Florida Doctors Group, PLLC
• South Florida Geriatric Medicine PA
• South Florida Surgical Specialists LLC
• South Florida Surgical Specialists, LLC
• South Florida Vision Services, Inc.
• South Miami Hospital, Inc (Baptist Medical Plaza at Davie)
• Southeast Wellness Lane Corp

• Point of Service in Davie, FL
• Providers in Davie, FL by specialty
• Point of Service in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.