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NPI Code Detail

MEDICARE: THE WELLNESS CENTER AT POST HASTE

MEDICARE: THE WELLNESS CENTER AT POST HASTE
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
1261QM1300XMulti-Specialty Clinic/CenterOS7598FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11053626317OTHERNPI FOR DR GAVISH
21902802713OTHERNPI FOR DR. SANCHEZ
31053626317OTHERFLNPI
41427102078OTHERNPI FOR DR KNOPFLER

General Provider Information

NPI Number : 1023388915
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE WELLNESS CENTER AT POST HASTE
Provider Business Mailing Address
First Line : 4401 SHERIDAN ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-3513
Country : US
Telephone Number : 954-239-7179
Fax Number : 954-874-6237
Provider Business Practice Location Address
First Line : 4401 SHERIDAN ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-3513
Country : US
Telephone Number : 954-239-7179
Fax Number : 954-874-6237
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. CARLOS SANCHEZ
Credential : DO
Telephone Number : 954-239-7179
Provider Enumeration Date : 01/09/2012
Last Update Date : 03/27/2012

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Directions to “THE WELLNESS CENTER AT POST HASTE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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