MEDICARE: JOSHUA WELZ RMFTI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TR0400X	Rehabilitation Psychologist
2	225400000X	Rehabilitation Practitioner
3	106H00000X	Marriage & Family Therapist	IMT4178	FL

General Provider Information

NPI Number	:	1003392598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA WELZ RMFTI

Provider Business Mailing Address
First Line	:	11055 SW 186TH ST STE 306
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33157-6843
Country	:	US
Telephone Number	:	786-224-6884
Fax Number	:

Provider Business Practice Location Address
First Line	:	6445 NE 7TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33138-6237
Country	:	US
Telephone Number	:	305-315-5238
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2018
Last Update Date	:	02/25/2025

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