Amavie Wellness Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

AMAVIE WELLNESS CENTER LLC

Practice address

1492 NW 153Rd Ave
Pembroke Pines, FL 33028-2453

Phone

(786) 285-9682

NPI assigned

Apr 24, 2020

Organization subpart

No

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

Authorized official

Name

Nahomie Mirville, DNP,AAPRN,FNP-BCNPI 1285172114

Title

Owner

Phone

(786) 285-9682

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nahomie Mirville, DNP,FNP,ARNP,PMHNP

  • Family Nurse Practitioner
  • Coral Springs, FL
  • NPI 1285172114
  NPD Authorized official

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1629698121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1492 NW 153RD AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282453",
            "telephone_number": "786-285-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 NW 153RD AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282453",
            "telephone_number": "786-285-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAVIE WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-24",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "MIRVILLE",
        "authorized_official_first_name": "NAHOMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-285-9682",
        "authorized_official_credential": "DNP,AAPRN,FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amador Behavior Company
• Lourdes Barrera Amador, LMHC
• Zenaida Amador, RN
• Esty Amar X
• Yeney Amaro Morales
• Amazing Children Rehabilitation Inc.
• Natacha Ambroise, RPH
• Ambulatory Surgical Facility of S Florida LLLP
• Amda Medical LLC
• Ameri-Wellness, LLC

• Clinic/Center in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.