MEDICARE: COWELLNESS GROUP 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
1	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1487584876
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COWELLNESS GROUP LLC

Provider Business Mailing Address
First Line	:	5085 NW 7TH ST APT 605
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-3454
Country	:	US
Telephone Number	:	786-912-0609
Fax Number	:

Provider Business Practice Location Address
First Line	:	805 E BROWARD BLVD STE 301
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33301-2046
Country	:	US
Telephone Number	:	786-912-0609
Fax Number	:

Authorized Official
Title or Position	:	OWNER-MGRM
Name	:	LENNY RENGIFO
Credential	:	LAC
Telephone Number	:	954-901-8263

Provider Enumeration Date	:	05/19/2026
Last Update Date	:	05/19/2026

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