Organization · Type 2 NPI
South Florida Neuro Wellness Centers LLC
Point of Service · Davie, FL
NPI number
1245782176
Active
Practice location
5337 Orange Dr
Davie, FL 33314-3815
Fax (954) 252-4037
Mailing address
6191 Orange Dr
Davie, FL 33314-3449
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | MT3051 (FL) |
| Clinical Neuropsychologist | 103G00000X | PY6992 (FL) |
| Clinical Psychologist | 103TC0700X | PY6992 (FL) |
| Marriage & Family Therapist | 106H00000X | MT2760 (FL) |
| Point of Service Primary | 305S00000X | None listed |
Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
2 other providers at this address
About NPI 1245782176
South Florida Neuro Wellness Centers LLC's National Provider Identifier is 1245782176, issued on Oct 26, 2016. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Davie, FL. The record was last updated on Apr 24, 2017.