Healthcare Provider Details

I. General information

NPI: 1194606285
Provider Name (Legal Business Name): INSIGHT HEALTHCARE & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2025
Last Update Date: 09/08/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14575 NW 77TH AVE SUITE 305
MIAMI LAKES FL
33014
US

IV. Provider business mailing address

14575 NW 77TH AVE SUITE 305
MIAMI LAKES FL
33014
US

V. Phone/Fax

Practice location:
  • Phone: 305-827-5545
  • Fax: 305-827-5547
Mailing address:
  • Phone: 305-827-5545
  • Fax: 305-827-5547

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. CINDY MANDULEY
Title or Position: ADMIN.
Credential:
Phone: 786-261-9628