MEDICARE: HEALTH & WELLNESS CENTER OF MIAMI INC.

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	111N00000X	Chiropractor	AP000283	FL

General Provider Information

NPI Number	:	1639511306
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH & WELLNESS CENTER OF MIAMI INC.

Provider Business Mailing Address
First Line	:	20555 OLD CUTLER RD
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33189-2455
Country	:	US
Telephone Number	:	305-233-4325
Fax Number	:

Provider Business Practice Location Address
First Line	:	20555 OLD CUTLER RD
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33189-2455
Country	:	US
Telephone Number	:	305-233-4325
Fax Number	:

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. RUSSELL ROGG
Credential	:	AP.OMD.
Telephone Number	:	305-251-4325

Provider Enumeration Date	:	07/23/2013
Last Update Date	:	07/23/2013

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