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General NPI Number Information
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NPI Number | 1124250311
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Entity Type | Organization
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Legal Business Name | FAMILY WELLNESS & HEALTH, INC
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Dates
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Enumeration Date | 08/20/2009
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Last Update Date | 08/20/2009
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Provider Practice Location Address
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Address Line | 7600 W 20TH AVE SUITE 103
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City | HIALEAH
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State | FL
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Zip | 33016-1821
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Country | US
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Telephone | 305-512-8984
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Fax |
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Provider Business Mailing Address
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Address Line | 7600 W 20TH AVE SUITE 103
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City | HIALEAH
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State | FL
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Zip | 33016-1821
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Country | US
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Telephone | 305-512-8984
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | OMAYDA VAZQUEZ
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Credential |
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Telephone | 305-512-8984
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | MM23496
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License Number State | FL
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