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NPI 1548763170

NPI 1548763170 : N&Y COMMUNITY WELLNESS CENTER CORP : CUTLER BAY, FL

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General NPI Number Information
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    NPI Number           |    1548763170
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    Entity Type          |    Organization 
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    Legal Business Name  |    N&Y COMMUNITY WELLNESS CENTER CORP 
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Dates
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    Enumeration Date     |    03/09/2018
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    Last Update Date     |    11/21/2025
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Provider Practice Location Address
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    Address Line         |    11009 SW 186TH ST 
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    City                 |    CUTLER BAY
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    State                |    FL
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    Zip                  |    33157-6810
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    Country              |    US
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    Telephone            |    786-732-7979
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    11009 SW 186TH ST 
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    City                 |    CUTLER BAY
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    State                |    FL
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    Zip                  |    33157-6810
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     BARBARA  GONZALEZ 
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    Credential           |    
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    Telephone            |    305-318-8976
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QH0100X
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    Taxonomy Name        |    Health Service Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QX0100X
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    Taxonomy Name        |    Occupational Medicine Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    261QM2500X
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    Taxonomy Name        |    Medical Specialty Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    261QM1300X
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    Taxonomy Name        |    Multi-Specialty Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    2084N0400X
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    Taxonomy Name        |    Neurology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    261QP2000X
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    Taxonomy Name        |    Physical Therapy Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    261QP2300X
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    Taxonomy Name        |    Primary Care Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #9
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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