Healthcare Provider Details

I. General information

NPI: 1386588630
Provider Name (Legal Business Name): INSPIRED HEALTHCARE WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11970 SW 92ND LN
MIAMI FL
33186-2058
US

IV. Provider business mailing address

11970 SW 92ND LN
MIAMI FL
33186-2058
US

V. Phone/Fax

Practice location:
  • Phone: 786-361-8413
  • Fax:
Mailing address:
  • Phone: 786-361-8413
  • Fax: 754-222-5243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JULIO ANTONIO ENRIQUEZ TORRES
Title or Position: OWNER
Credential: ARNP-PMHNP
Phone: 786-290-3102