Healthcare Provider Details
I. General information
NPI: 1316870256
Provider Name (Legal Business Name): WELLNESS AND CARE RN LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
435 LAKEVIEW DR
WESTON FL
33326-2447
US
IV. Provider business mailing address
435 LAKEVIEW DR
WESTON FL
33326-2447
US
V. Phone/Fax
- Phone: 786-616-2076
- Fax:
- Phone: 786-616-2076
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RUBIELA
MARIN
Title or Position: RN
Credential: REGISTERED NURSE
Phone: 786-616-2076