South Florida Wellness Network, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SOUTH FLORIDA WELLNESS NETWORK, INC

Practice address

2901 W Cypress Creek Rd Ste 105
Fort Lauderdale, FL 33309-1730

Phone

(954) 533-0585

NPI assigned

Dec 29, 2015

Last updated

Apr 13, 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. Susan Nyamora

Title

President & Ceo

Phone

(954) 629-0405

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1336504786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 W CYPRESS CREEK RD STE 105",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091730",
            "telephone_number": "954-533-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 W CYPRESS CREEK RD STE 105",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091730",
            "telephone_number": "954-533-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA WELLNESS NETWORK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-29",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "NYAMORA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "954-629-0405",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Florida Surgical Specialists, LLC
• South Florida Surgical Specialists, LLC
• South Florida Therapy and Wellness Center, Inc
• South Florida Vision Associates, LLC
• South Florida Vision Services, Inc. (South Florida Vision Centers)
• South Florida Women's Wellness and Aesthetics (Nayami Wellness Institute)
• South Shore Medical Supplies LLC
• Southast Homecare Corp
• Southeast Florida Hematology Oncology Group PA
• Southeast Florida Pain Management

• Community/Behavioral Health Agency in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.