Healthcare Provider Details

I. General information

NPI: 1053227058
Provider Name (Legal Business Name): PREMIER WELLNESS SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1207 DELAWARE AVE
WILMINGTON DE
19806-4743
US

IV. Provider business mailing address

1207 DELAWARE AVE
WILMINGTON DE
19806-4743
US

V. Phone/Fax

Practice location:
  • Phone: 901-602-5651
  • Fax: 901-602-5656
Mailing address:
  • Phone: 901-602-5651
  • Fax: 901-602-5656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JUAN C BARBERIS
Title or Position: OWNER
Credential: MD
Phone: 901-602-5651