| Advanced Wellness Services Corp | |
|
14100 Palmetto Frntg Rd Ste 112 Miami Lakes FL 33016-1568 | |
| (786) 296-2773 | |
| Not Available |
| Full Name | Advanced Wellness Services Corp |
|---|---|
| Speciality | Behavior Analyst |
| Location | 14100 Palmetto Frntg Rd Ste 112, Miami Lakes, Florida |
| Authorized Official Name and Position | Mirialys Sanabia (OWNER) |
| Authorized Official Contact | 7865462549 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Wellness Services Corp 14100 Palmetto Frntg Rd Ste 107 Miami Lakes FL 33016-1568 Ph: (786) 296-2773 | Advanced Wellness Services Corp 14100 Palmetto Frntg Rd Ste 112 Miami Lakes FL 33016-1568 Ph: (786) 296-2773 |
| NPI Number | 1396456414 |
|---|---|
| Provider Enumeration Date | 12/09/2022 |
| Last Update Date | 04/09/2024 |
| Certification Date | 04/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396456414 | NPI | - | NPPES |
| 113667200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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