Healthcare Provider Details

I. General information

NPI: 1639969108
Provider Name (Legal Business Name): INSIGHT HEALTHCARE & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2025
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14575 NW 77TH AVE STE 305
MIAMI LAKES FL
33014-2549
US

IV. Provider business mailing address

14575 NW 77TH AVE STE 305
MIAMI LAKES FL
33014-2549
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 Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. MIGUEL MARIN GARCIA
Title or Position: MGR
Credential:
Phone: 954-326-3931