Healthcare Provider Details

I. General information

NPI: 1184550238
Provider Name (Legal Business Name): SANA MEDICAL AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7900 NW 33RD ST
HOLLYWOOD FL
33024-2209
US

IV. Provider business mailing address

531 N 71ST TER
HOLLYWOOD FL
33024-7338
US

V. Phone/Fax

Practice location:
  • Phone: 305-988-9010
  • Fax: 954-932-5087
Mailing address:
  • Phone: 305-988-9010
  • Fax: 954-932-5087

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LEIDY M HENAO
Title or Position: CEO
Credential: APRN
Phone: 305-988-9010