Active NPI
Family Wellness and Aesthetic Center LLC
- General Practice Physician
- Sunrise, FL
National Provider Identifier
1437798139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | |||
| General Practice Physician | 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 DirectoryLocations
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.