MEDICARE: HEALWELL REGENERATIVE INSTITUTE

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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1023874401
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALWELL REGENERATIVE INSTITUTE

Provider Business Mailing Address
First Line	:	6801 COLLINS AVE
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33141-3243
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6801 COLLINS AVE
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33141-3243
Country	:	US
Telephone Number	:	305-619-3533
Fax Number	:

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	SARAH DOYLE
Credential	:
Telephone Number	:	305-619-3533

Provider Enumeration Date	:	02/23/2024
Last Update Date	:	02/23/2024

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