Healthcare Provider Details

I. General information

NPI: 1144152521
Provider Name (Legal Business Name): NEOVIDA WELLNESS CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18710 SW 107TH AVE UNIT 15B
CUTLER BAY FL
33157-6742
US

IV. Provider business mailing address

18710 SW 107TH AVE UNIT 15B
CUTLER BAY FL
33157-6742
US

V. Phone/Fax

Practice location:
  • Phone: 786-459-9945
  • Fax: 786-478-3416
Mailing address:
  • Phone: 786-459-9945
  • Fax: 786-478-3416

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ARIAN J BARRIO MOREIRA
Title or Position: PRESIDENT
Credential:
Phone: 786-985-5913