Affordable Medical and Wellness Center, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

AFFORDABLE MEDICAL AND WELLNESS CENTER, LLC

Practice address

9780 W Heather LN
Miramar, FL 33025-2343

Phone

(305) 494-4415

NPI assigned

Apr 28, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Regine Dorvil, MDNPI 1043674880

Title

Owner/Manager

Phone

(305) 494-4415

Specialties & licenses 1

Addresses

Other names 1

• Affordable Medical And Wellness Center Doing business as

Practitioners 1

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

• Regine Dorvil, MD

  • General Practice Physician
  • Port St Lucie, FL
  • NPI 1043674880
  NPD Authorized official

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1669055646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9780 W HEATHER LN",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252343",
            "telephone_number": "305-494-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9780 W HEATHER LN",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252343",
            "telephone_number": "305-494-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE MEDICAL AND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-25",
        "status": "A",
        "authorized_official_last_name": "DORVIL",
        "authorized_official_first_name": "REGINE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "305-494-4415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable Medical And Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Miramar, FL
• Providers in Miramar, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.