Healthcare Provider Details

I. General information

NPI: 1366389033
Provider Name (Legal Business Name): RECLAMATION HEALING & WELLNESS CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 W CYPRESS CREEK RD STE 6
FORT LAUDERDALE FL
33309-1715
US

IV. Provider business mailing address

2900 W CYPRESS CREEK RD STE 8
FORT LAUDERDALE FL
33309-1715
US

V. Phone/Fax

Practice location:
  • Phone: 954-343-6552
  • Fax: 754-255-7455
Mailing address:
  • Phone: 954-343-6552
  • Fax: 754-255-7455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA DENIS
Title or Position: OWNER
Credential:
Phone: 954-343-6552