Healthcare Provider Details

I. General information

NPI: 1659217453
Provider Name (Legal Business Name): MOMENTUM HEALING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2026
Last Update Date: 04/25/2026
Certification Date: 04/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15320 HONEYBELL DR
WINTER GARDEN FL
34787-5060
US

IV. Provider business mailing address

15320 HONEYBELL DR
WINTER GARDEN FL
34787-5060
US

V. Phone/Fax

Practice location:
  • Phone: 787-244-8081
  • Fax:
Mailing address:
  • Phone: 787-244-8081
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JANIRA RIVERA AREVALO
Title or Position: OWNER
Credential: ARNP
Phone: 787-244-8081