Healthcare Provider Details

I. General information

NPI: 1699612184
Provider Name (Legal Business Name): WELLNESS AURA USA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 FAIRWAY DR STE 208
DEERFIELD BEACH FL
33441-1809
US

IV. Provider business mailing address

455 FAIRWAY DR STE 208
DEERFIELD BEACH FL
33441-1809
US

V. Phone/Fax

Practice location:
  • Phone: 210-642-2103
  • Fax:
Mailing address:
  • Phone: 210-642-2103
  • Fax:

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: MR. MIASHAHEED YAISEEN
Title or Position: MANAGER
Credential:
Phone: 210-642-2103