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NPI Code Detail

MEDICARE: INNOVATIVE HEALTH & WELLNESS LLC

MEDICARE: INNOVATIVE HEALTH & WELLNESS LLC
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
1207R00000XInternal Medicine Physician
2207QS0010XSports Medicine (Family Medicine) Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DF0638OTHERFLMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
294998OTHERFLBLUE CROSS AND BLUE SHIEL
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295785939
Entity Type Code : Organization
Provider Name (Legal Business Name) : INNOVATIVE HEALTH & WELLNESS LLC
Provider Business Mailing Address
First Line : 729 E ATLANTIC BLVD
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33060-6345
Country : US
Telephone Number : 954-943-5044
Fax Number : 954-786-8502
Provider Business Practice Location Address
First Line : 729 E ATLANTIC BLVD
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33060-6345
Country : US
Telephone Number : 954-943-5044
Fax Number : 954-786-8502
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. SCOTT A. SILVERSTEIN
Credential : D.O.
Telephone Number : 954-943-5044
Provider Enumeration Date : 05/11/2006
Last Update Date : 12/09/2019

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1326026568 — DR. STEPHEN SILVERSTEIN DO
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1588680821 — DR. DANIEL GROBMAN D.O.
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1225388283 — RUTH KREIS-ORKOULAS ARNP
Practice Location Address:
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1639421811 — MR. BRAD PALEY LCSW
Practice Location Address:
721 E ATLANTIC BLVD
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33060-6345
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1225373848 — MRS. JASMINE ANN OBERMAN PA-C
Practice Location Address:
729 E ATLANTIC BLVD
POMPANO BEACH, FL
33060-6345
Practice Phone: 954-943-5044
Practice Fax: 954-786-8502

Directions to “INNOVATIVE HEALTH & WELLNESS LLC ” Practice Location

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