My Wellness Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MY WELLNESS PRACTICE

Practice address

12505 Orange Dr Ste 905
Davie, FL 33330-4300

Phone

(954) 839-6002

Fax

(954) 539-6002

NPI assigned

May 3, 2024

Organization subpart

No

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

Authorized official

Name

Sumaira Jagvani, APRNNPI 1740826692

Title

Owner

Phone

(954) 439-4333

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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

• Sumaira Jagvani, FNP

  • Family Nurse Practitioner
  • Weston, FL
  • NPI 1740826692

  Family Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Amanda Raveli Grant, APRN-BC

  • Family Nurse Practitioner
  • Weston, FL
  • NPI 1851000319
  Medicare reassignment Care Compare group NPD
• Adeeb Rohani

  • Family Medicine Physician
  • New Port Richey, FL
  • NPI 1205331824
  Medicare reassignment

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1710734975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12505 ORANGE DR STE 905",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304300",
            "telephone_number": "954-839-6002",
            "fax_number": "954-539-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12505 ORANGE DR STE 905",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304300",
            "telephone_number": "954-839-6002",
            "fax_number": "954-539-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY WELLNESS PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "JAGVANI",
        "authorized_official_first_name": "SUMAIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-439-4333",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khalid Hassan Mutawalli, D.D.S,M.S
• Olivia Muzzatti, OD
• Charles Mwango
• My Billing Company Inc.
• My Children Home, Inc
• Myo-Therapies, Inc
• Najwa Naami
• John Naas
• Karen Nachum, DMD
• Max Nahon, DDS

• Family Medicine Physician in Davie, FL
• Providers in Davie, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.