MEDICARE: THE WELLNESS CENTER

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	207QA0505X	Adult Medicine Physician	ME0056693	FL

General Provider Information

NPI Number	:	1154688406
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE WELLNESS CENTER

Provider Business Mailing Address
First Line	:	2955 SW 8TH ST
Second Line	:	SUITE 202A
City	:	MIAMI
State	:	FL
Zip	:	33135-2862
Country	:	US
Telephone Number	:	305-643-8656
Fax Number	:	305-643-8657

Provider Business Practice Location Address
First Line	:	2955 SW 8TH ST
Second Line	:	SUITE 202A
City	:	MIAMI
State	:	FL
Zip	:	33135-2862
Country	:	US
Telephone Number	:	305-643-8656
Fax Number	:	305-643-8657

Authorized Official
Title or Position	:	PRESIDENT
Name	:	WILLIAM DARPINI
Credential	:
Telephone Number	:	306-543-8656

Provider Enumeration Date	:	04/11/2012
Last Update Date	:	05/09/2012

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Directions to “THE WELLNESS CENTER ” Practice Location

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