Pink Petal Health and Wellness Center, LLC.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PINK PETAL HEALTH AND WELLNESS CENTER, LLC.

Practice address

9937 Pines Blvd
Pembroke Pines, FL 33024-6175

Phone

(954) 399-8793

Fax

(954) 637-2020

NPI assigned

Apr 16, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Renee Waugh, DNP, APRN

Title

Nurse Practitioner

Phone

(954) 399-8793

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1689294928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9937 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246175",
            "telephone_number": "954-399-8793",
            "fax_number": "954-637-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9937 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246175",
            "telephone_number": "954-399-8793",
            "fax_number": "954-637-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINK PETAL HEALTH AND WELLNESS CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-16",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "WAUGH",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "954-399-8793",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APRN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pines Retirement Residence, Inc.
• Pines Total Rehabilitation Health Center Corp
• Pines True Smile
• Pines Urgent Care Medical Center
• Pines West Chiropractic Inc
• Pinnacle Medical Care LLC
• Anaday Pinto Gil
• Maria F Pinto, PHARMD
• Arlen Pitalugan
• Alejandro Pla, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.