Active NPI
Advanced Wellness Services Corp
- Community/Behavioral Health Agency
- Miami Lakes, FL
National Provider Identifier
1942937255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- ADVANCED WELLNESS SERVICES CORP
- Practice address
- 14100 Palmetto Frntg Rd Ste 107
Miami Lakes, FL 33016-1568 - Phone
- (786) 536-2945
- Fax
- (786) 565-3955
- NPI assigned
- Aug 5, 2022
- Last updated
- Oct 29, 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
- Anabel Fernandez
- Title
- Manager
- Phone
- (786) 536-2945
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
14100 Palmetto Frntg Rd Ste 107
Miami Lakes, FL 33016-1568
Mailing address
14100 Palmetto Frntg Rd Ste 112
Miami Lakes, FL 33016-1568
Phone (786) 536-2945
Other names 1
- Advanced Wellness Services Corp
National Provider Directory
National Provider Directory- Tax ID family
- Advanced Wellness Services Corp
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Behavior Analyst
- Miami Lakes, FL
- NPI 1396456414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730160000000",
"number": "1942937255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14100 PALMETTO FRNTG RD STE 112",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330161568",
"telephone_number": "786-536-2945",
"fax_number": "786-565-3955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14100 PALMETTO FRNTG RD STE 107",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330161568",
"telephone_number": "786-536-2945",
"fax_number": "786-565-3955"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED WELLNESS SERVICES CORP",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-05",
"last_updated": "2024-10-29",
"certification_date": "2024-10-29",
"status": "A",
"authorized_official_last_name": "FERNANDEZ",
"authorized_official_first_name": "ANABEL",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "786-536-2945"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Wellness Services Corp",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Advanced Wellness Services Corp",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Miami Lakes, FL
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- Advanced Therapy and Testing
- Advanced Wellness Services Corp
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.