Healthcare Provider Details

I. General information

NPI: 1568329704
Provider Name (Legal Business Name): METAMORPHOSIS WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2026
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 SE 1ST AVE STE 200K
OCALA FL
34471-2177
US

IV. Provider business mailing address

35 SE 1ST AVE STE 200K
OCALA FL
34471-2177
US

V. Phone/Fax

Practice location:
  • Phone: 786-259-5441
  • Fax: 352-310-0132
Mailing address:
  • Phone: 786-259-5441
  • Fax: 352-310-0132

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: SEMIRAMIS NIEVES
Title or Position: CEO
Credential: IPHM
Phone: 863-414-8784