Palmetto Lakes Wellness Center Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

PALMETTO LAKES WELLNESS CENTER INC

Practice address

5190 NW 167TH St Ste 102
Miami Lakes, FL 33014-6329

Phone

(786) 955-6598

Fax

(786) 955-6857

NPI assigned

Mar 26, 2015

Organization subpart

No

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

Authorized official

Name

Annia Rodriguez

Title

President

Phone

(786) 955-6598

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1942694070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5190 NW 167TH ST STE 102",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146329",
            "telephone_number": "786-955-6598",
            "fax_number": "786-955-6857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 NW 167TH ST STE 102",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146329",
            "telephone_number": "786-955-6598",
            "fax_number": "786-955-6857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO LAKES WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-26",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ANNIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-955-6598"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pain Specialists of Miami Lakes Corp (Tree of Lyfe Sports Medicine)
• Rachely Palacios, RBT-23-297203
• Siva Kumar Palakurthi
• Ana Maria Palli Martinez
• Palm Springs Community Health Center Corp
• Palmetto Living Facility, Inc.
• Palmetto Smile Center PA
• Ines M Palomino
• Jorge Pando, M.D. FACOG
• Sara Mahmoud Panella, PHARMD, BCPS

• Health Service Clinic/Center in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.