MEDICARE: GYE NYAME WELLNESS CENTRE, LLC

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	173C00000X	Reflexologist

General Provider Information

NPI Number	:	1588510549
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GYE NYAME WELLNESS CENTRE, LLC

Provider Business Mailing Address
First Line	:	528 S SEMINOLE AVE
Second Line	:
City	:	FORT MEADE
State	:	FL
Zip	:	33841-3448
Country	:	US
Telephone Number	:	863-448-7476
Fax Number	:

Provider Business Practice Location Address
First Line	:	304 N CHARLESTON AVE
Second Line	:
City	:	FORT MEADE
State	:	FL
Zip	:	33841-2403
Country	:	US
Telephone Number	:	863-448-7476
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	STEVEN MCKENZY
Credential	:	MCKENZY
Telephone Number	:	863-448-7476

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/16/2026

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