MEDICARE: SAMVAH WELLNESS & DIAGNOSTIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1184587248
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAMVAH WELLNESS & DIAGNOSTIC

Provider Business Mailing Address
First Line	:	3183 NW FEDERAL HWY
Second Line	:
City	:	JENSEN BEACH
State	:	FL
Zip	:	34957-4443
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3183 NW FEDERAL HWY
Second Line	:
City	:	JENSEN BEACH
State	:	FL
Zip	:	34957-4443
Country	:	US
Telephone Number	:	954-706-0022
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NERLIE FRANCOIS
Credential	:	ARNP
Telephone Number	:	954-706-0022

Provider Enumeration Date	:	12/05/2025
Last Update Date	:	12/05/2025

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