Organization Active NPI

Family Wellness and Aesthetic Center LLC

  • General Practice Physician
  • Sunrise, FL
National Provider Identifier
1437798139
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
FAMILY WELLNESS AND AESTHETIC CENTER LLC
Practice address
7800 W Oakland Park Blvd Ste B105
Sunrise, FL 33351-6741
Phone
(954) 890-3902
Fax
(954) 999-0230
NPI assigned
Dec 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Fanuel Dorilas
Title
President
Phone
(954) 478-2041

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

7800 W Oakland Park Blvd Ste B105
Sunrise, FL 33351-6741

Mailing address

7800 W Oakland Park Blvd Ste B105
Sunrise, FL 33351-6741
Phone (954) 890-3892

National Provider Directory

National Provider Directory

Locations

3001 Coral Hills Dr
Ste 360A
Coral Springs, FL 33065
Phone (954) 478-2041

NPI Registry JSON

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1437798139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 W OAKLAND PARK BLVD STE B105",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516741",
            "telephone_number": "954-890-3892",
            "fax_number": "954-999-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 W OAKLAND PARK BLVD STE B105",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516741",
            "telephone_number": "954-890-3902",
            "fax_number": "954-999-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY WELLNESS AND AESTHETIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-27",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "DORILAS",
        "authorized_official_first_name": "FANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-478-2041"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.