| Im Wellness Center,llc | |
|
11756 Sw 244th Ln Homestead FL 33032-4717 | |
| (786) 332-9540 | |
| (305) 574-9844 |
| Full Name | Im Wellness Center,llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11756 Sw 244th Ln, Homestead, Florida |
| Authorized Official Name and Position | Iraisy Mendez (OWNER) |
| Authorized Official Contact | 7863329540 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Im Wellness Center,llc 11756 Sw 244th Ln Homestead FL 33032-4717 Ph: (786) 332-9540 | Im Wellness Center,llc 11756 Sw 244th Ln Homestead FL 33032-4717 Ph: (786) 332-9540 |
| NPI Number | 1366231995 |
|---|---|
| Provider Enumeration Date | 05/01/2025 |
| Last Update Date | 05/01/2025 |
| Certification Date | 05/01/2025 |
| Medicare PECOS PAC ID | 5991215618 |
|---|---|
| Medicare Enrollment ID | O20250611000399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366231995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Iraisy Mendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013628833 PECOS PAC ID: 1850766965 Enrollment ID: I20230403001902 |
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