MEDICARE: METAMORPHOSIS WELLNESS

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	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1568329704
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METAMORPHOSIS WELLNESS

Provider Business Mailing Address
First Line	:	35 SE 1ST AVE STE 200K
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34471-2177
Country	:	US
Telephone Number	:	786-259-5441
Fax Number	:	352-310-0132

Provider Business Practice Location Address
First Line	:	35 SE 1ST AVE STE 200K
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34471-2177
Country	:	US
Telephone Number	:	786-259-5441
Fax Number	:	352-310-0132

Authorized Official
Title or Position	:	CEO
Name	:	SEMIRAMIS NIEVES
Credential	:	IPHM
Telephone Number	:	863-414-8784

Provider Enumeration Date	:	01/08/2026
Last Update Date	:	01/08/2026

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Directions to “METAMORPHOSIS WELLNESS ” Practice Location

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