NPIMap

Organization Active NPI

Reflections Wellness Center of Broward

  • Community Health Clinic/Center
  • Hollywood, FL
National Provider Identifier
1770624066
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
5173 Issued in FL
Legal business name
REFLECTIONS WELLNESS CENTER OF BROWARD
Practice address
6848 Stirling Rd
Hollywood, FL 33024-1842
Phone
(954) 362-0104
Fax
(954) 362-0105
NPI assigned
Feb 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Guillermo Horacio Fernandez, B.A.
Title
Administrator
Phone
(954) 362-0104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 5173 FL Primary

Addresses

Primary practice location

6848 Stirling Rd
Hollywood, FL 33024-1842

Mailing address

6848 Stirling Rd
Hollywood, FL 33024-1842
Phone (954) 362-0104

National Provider Directory

National Provider Directory

Locations

6848 Stirling Rd
Hollywood, FL 33024
Phone (954) 362-0104

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770624066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6848 STIRLING RD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330241842",
            "telephone_number": "954-362-0104",
            "fax_number": "954-362-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6848 STIRLING RD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330241842",
            "telephone_number": "954-362-0104",
            "fax_number": "954-362-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFLECTIONS WELLNESS CENTER OF BROWARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_middle_name": "HORACIO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-362-0104",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.A."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "FL",
            "license": "5173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.