Azul Wellness Center, LLC.
Clinic/Center, Developmental Disabilities in Miami, FL. Organization (NPI-2).
NPI number1679110555
StatusActive
Last updated in NPPESDec 10, 2019
Details
- NPI
- 1679110555
- Entity type
- Organization (NPI-2)
- Legal business name
- Azul Wellness Center, LLC.
- Organization subpart
- No
- Enumeration date
- Dec 10, 2019
- Certification date
- Dec 10, 2019
- Last updated
- Dec 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD1600X | Clinic/Center, Developmental Disabilities | – | – | Yes |
Practice location
8888 Sw 131st Ct Apt 309Miami, FL 33186-1765
Phone 954-702-3074
Mailing address
8888 Sw 131st Ct Apt 309Miami, FL 33186-1765
Phone 954-702-3074
Authorized official
Nadja Atkinson
Ceo
9547023074
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