Healthcare Provider Details

I. General information

NPI: 1841998119
Provider Name (Legal Business Name): MEJORESTAR-BETTERBEING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2023
Last Update Date: 02/16/2023
Certification Date: 02/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2863 EXECUTIVE PARK DR STE 106
WESTON FL
33331-3647
US

IV. Provider business mailing address

1383 SEAGRAPE CIR
WESTON FL
33326-2726
US

V. Phone/Fax

Practice location:
  • Phone: 954-769-1285
  • Fax:
Mailing address:
  • Phone: 954-404-3889
  • Fax: 954-838-5386

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. DAGMAR E NUNEZ
Title or Position: CLINICAL PSYCHOLOGIST
Credential: PSY D
Phone: 954-404-3889