Dynamic Wellnes, Inc.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS37377 Issued in FL

Legal business name

DYNAMIC WELLNES, INC.

Practice address

12150 SW 128TH CT
Suite 217
Miami, FL 33186-4647

Phone

(786) 732-2595

Fax

(786) 732-2595

NPI assigned

Oct 17, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Gisele Velazquez, RPH, CPH

Title

Pharmacist

Phone

(305) 815-0437

Specialties & licenses 1

Addresses

Other names 1

• Dynamic Wellness MTM Other name

Locations

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1295286011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12150 SW 128TH CT",
            "address_2": "SUITE 217",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864647",
            "telephone_number": "786-732-2595",
            "fax_number": "786-732-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12150 SW 128TH CT",
            "address_2": "SUITE 217",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864647",
            "telephone_number": "786-732-2595",
            "fax_number": "786-732-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC WELLNES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "VELAZQUEZ",
        "authorized_official_first_name": "GISELE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "305-815-0437",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH, CPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS37377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Wellness MTM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Pharmacist in Miami, FL
• Providers in Miami, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.