Healthcare Provider Details

I. General information

NPI: 1487261400
Provider Name (Legal Business Name): ZYAM WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2020
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10544 NW 26TH ST STE E104
DORAL FL
33172-5939
US

IV. Provider business mailing address

10544 NW 26TH ST STE E104
DORAL FL
33172-5939
US

V. Phone/Fax

Practice location:
  • Phone: 786-391-2950
  • Fax:
Mailing address:
  • Phone: 786-391-2950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ESTEBAN RAMOS
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 305-240-3909