Healthcare Provider Details

I. General information

NPI: 1477466068
Provider Name (Legal Business Name): SUNCOAST WELLNESS AND HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W 41ST ST STE 412
MIAMI BEACH FL
33140-3500
US

IV. Provider business mailing address

1531 NW 11TH WAY
FORT LAUDERDALE FL
33311-5412
US

V. Phone/Fax

Practice location:
  • Phone: 786-703-7549
  • Fax:
Mailing address:
  • Phone: 954-348-0428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. BRITTNIE D POUCELY
Title or Position: NURSE PRACTITIONER
Credential: APRN, FNP-BC
Phone: 954-348-0428