Healthcare Provider Details

I. General information

NPI: 1417874694
Provider Name (Legal Business Name): LO FI WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4110 DAVIE ROAD EXT
HOLLYWOOD FL
33024-1679
US

IV. Provider business mailing address

1091 IBIS AVE
MIAMI SPRINGS FL
33166-3213
US

V. Phone/Fax

Practice location:
  • Phone: 305-322-4856
  • Fax: 305-703-2593
Mailing address:
  • Phone: 305-322-4856
  • Fax: 305-703-2593

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: LORINDA LO
Title or Position: NURSE PRACTIOTIONER
Credential: APRN
Phone: 305-322-4856