Renuva Wellness LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

RENUVA WELLNESS LLC

Practice address

8910 Miramar Pkwy Ste 200
Miramar, FL 33025-4963

Phone

(305) 709-8343

NPI assigned

Sep 29, 2021

Last updated

Sep 29, 2021By 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

Ms. Elsa Ashley Frederic, FNP-BCNPI 1376933192

Title

Provider

Phone

(786) 718-3813

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elsa Ashley Frederic, APRN

  • Family Nurse Practitioner
  • Pembroke Pines, FL
  • NPI 1376933192
  Authorized official Same address or phone
• Jennie Frederic, CNA

  • Nurse's Aide
  • Miramar, FL
  • NPI 1659022762
  NPD

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1487326476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8910 MIRAMAR PKWY STE 200",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330254963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8910 MIRAMAR PKWY STE 200",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330254963",
            "telephone_number": "305-709-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENUVA WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "FREDERIC",
        "authorized_official_first_name": "ELSA",
        "authorized_official_middle_name": "ASHLEY",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "786-718-3813",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Relief in Sight PA
• Robinson Remonville, APRN
• Sydney Renaud
• Franckline Rene, RN, MSN
• Sabine Renois
• Resolute Outreach Inc.
• Restore and Thrive Therapy LLC
• Restoring Lives Counseling & Wellness Center LLC
• Arron Reuvers, APRN
• Celia Debbie Revilla, OTR/L

• Family Nurse Practitioner in Miramar, FL
• Providers in Miramar, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.