Active NPI
Biowik LLC
- Addiction (Substance Use Disorder) Counselor
- Coral Gables, FL
National Provider Identifier
1841039294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- BIOWIK LLC
- Practice address
- 4649 Ponce de Leon Blvd
Suite 302
Coral Gables, FL 33146 - Phone
- (786) 371-8337
- NPI assigned
- May 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Cornelia Paulina Detesan
- Title
- Ceo
- Phone
- (786) 371-8337
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
4649 Ponce de Leon Blvd
Suite 302
Coral Gables, FL 33146
Mailing address
4649 Ponce de Leon Blvd
Suite 302
Coral Gables, FL 33146
Phone (786) 371-8337
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721001600000",
"number": "1841039294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4649 PONCE DE LEON BLVD",
"address_2": "SUITE 302",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "33146",
"telephone_number": "786-371-8337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4649 PONCE DE LEON BLVD",
"address_2": "SUITE 302",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "33146",
"telephone_number": "786-371-8337"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIOWIK LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-23",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A",
"authorized_official_last_name": "DETESAN",
"authorized_official_first_name": "CORNELIA",
"authorized_official_middle_name": "PAULINA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "786-371-8337",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.