Healthcare Provider Details

I. General information

NPI: 1821755208
Provider Name (Legal Business Name): ADVICE FOR OPTIMAL WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2021
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7800 SW 57TH AVE STE 208
SOUTH MIAMI FL
33143-5543
US

IV. Provider business mailing address

7800 SW 57TH AVE STE 208
SOUTH MIAMI FL
33143-5543
US

V. Phone/Fax

Practice location:
  • Phone: 305-831-1200
  • Fax: 330-590-5454
Mailing address:
  • Phone: 305-831-1200
  • Fax: 330-590-5454

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. LUIS FERNANDEZ
Title or Position: CEO
Credential:
Phone: 305-831-1200