NPIMap

Organization Active NPI

Reawakenings Wellness Center

  • Addiction Medicine (Family Medicine) Physician
  • Miramar, FL
National Provider Identifier
1760933220
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
0601 Issued in FL
Legal business name
REAWAKENINGS WELLNESS CENTER
Practice address
3600 Red Rd
5TH Floor
Miramar, FL 33025-6013
Phone
(954) 544-3000
NPI assigned
Oct 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Joe Toro
Title
Executive Director
Phone
(954) 544-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X 0601 FL Primary

Addresses

Primary practice location

3600 Red Rd
5TH Floor
Miramar, FL 33025-6013

Mailing address

3600 Red Rd
5TH Floor
Miramar, FL 33025-6013
Phone (954) 544-3000

National Provider Directory

National Provider Directory
Tax ID family
Reawakenings Wellness Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1760933220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 RED RD",
            "address_2": "5TH FLOOR",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330256013",
            "telephone_number": "954-544-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 RED RD",
            "address_2": "5TH FLOOR",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330256013",
            "telephone_number": "954-544-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAWAKENINGS WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TORO",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "954-544-3000"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "FL",
            "license": "0601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.