Dynamic Waves of Change

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CAP 4003 Issued in FL

Legal business name

DYNAMIC WAVES OF CHANGE

Practice address

2020 NE 163Rd St
#204
North Miami Beach, FL 33162-4927

Phone

(786) 345-1510

Fax

(305) 705-3236

NPI assigned

Mar 15, 2014

Organization subpart

No

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

Authorized official

Name

Pavel Abramov

Title

Owner

Phone

(305) 916-8818

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1394841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1528484409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 SW 54TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333125670",
            "telephone_number": "305-916-8818",
            "fax_number": "305-705-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 NE 163RD ST",
            "address_2": "#204",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624927",
            "telephone_number": "786-345-1510",
            "fax_number": "305-705-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC WAVES OF CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-15",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "ABRAMOV",
        "authorized_official_first_name": "PAVEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-916-8818"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "CAP 4003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stepfanny Carolina Duran Lemus
• Duval Emergency Group LLC
• Eileen Marsha Dvorkin, DC
• Zachary Bryan Dvorkin, D.C.
• Grace Ann Dwyer, M.D.
• E & M Rehab & Medical Center, Inc.
• Earthly Doula & Nanny Services
• Kareem Ahmed Ebeid, MD
• Gabriela Elizabeth Echagaray, ARNP
• Jean Jaques Edderai, DDS

• Addiction (Substance Use Disorder) Counselor in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Addiction (Substance Use Disorder) Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.