Healthcare Provider Details

I. General information

NPI: 1134039191
Provider Name (Legal Business Name): LYNNEXIA HEALTH GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15230 SW 286TH ST APT 314
HOMESTEAD FL
33033-1692
US

IV. Provider business mailing address

15230 SW 286TH ST APT 314
HOMESTEAD FL
33033-1692
US

V. Phone/Fax

Practice location:
  • Phone: 786-209-4236
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: ESTEFHANIA GARCIA
Title or Position: OWNER
Credential:
Phone: 786-209-4236