Healthcare Provider Details

I. General information

NPI: 1710878079
Provider Name (Legal Business Name): CLARY'S THERAPY & WELLNESS CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2025
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5881 NW 151ST ST STE 100
MIAMI LAKES FL
33014-2455
US

IV. Provider business mailing address

5881 NW 151ST ST STE 100
MIAMI LAKES FL
33014-2455
US

V. Phone/Fax

Practice location:
  • Phone: 786-817-2416
  • Fax: 786-817-2342
Mailing address:
  • Phone: 786-817-2416
  • Fax: 786-817-2342

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State

VIII. Authorized Official

Name: HEIDY V ALVAREZ
Title or Position: VI PRESIDENTE
Credential:
Phone: 786-312-9589