Organization Active NPI

Wellness Medical Center Group Inc

  • Clinic/Center
  • North Miami, FL
National Provider Identifier
1720807241
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WELLNESS MEDICAL CENTER GROUP INC
Practice address
12550 Biscayne Blvd Ste 800-6
North Miami, FL 33181-2541
Phone
(561) 648-2594
NPI assigned
Oct 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Fidel Bermudez
Title
President
Phone
(561) 648-2594

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

12550 Biscayne Blvd Ste 800-6
North Miami, FL 33181-2541

Mailing address

12550 Biscayne Blvd Ste 800-6
North Miami, FL 33181-2541
Phone (561) 648-2594

National Provider Directory

National Provider Directory

Locations

12550 Biscayne Blvd
Ste 8006
North Miami, FL 33181
Phone (561) 426-3140

NPI Registry JSON

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1720807241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12550 BISCAYNE BLVD STE 800-6",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812541",
            "telephone_number": "561-648-2594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12550 BISCAYNE BLVD STE 800-6",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812541",
            "telephone_number": "561-648-2594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS MEDICAL CENTER GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "BERMUDEZ",
        "authorized_official_first_name": "FIDEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-648-2594"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.