Healthcare Provider Details

I. General information

NPI: 1144487752
Provider Name (Legal Business Name): NATURE WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2008
Last Update Date: 05/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

839 NW 80TH TER
PLANTATION FL
33324-1226
US

IV. Provider business mailing address

839 NW 80TH TER
PLANTATION FL
33324-1226
US

V. Phone/Fax

Practice location:
  • Phone: 954-245-1108
  • Fax:
Mailing address:
  • Phone: 954-245-1108
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License NumberAP2459
License Number StateFL

VIII. Authorized Official

Name: MARILYN ARACENA
Title or Position: ACUPUNTURIST PHYSICIAN
Credential: PA
Phone: 954-245-1108