| Im Wellness Center,llc | |
|
22339 Sw 112th Ave Unit C Miami FL 33170-6543 | |
| (786) 701-9908 | |
| (305) 574-9844 |
| Full Name | Im Wellness Center,llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 22339 Sw 112th Ave Unit C, Miami, Florida |
| Authorized Official Name and Position | Iraisy Mendez (PMHNP/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 22339 Sw 112th Ave Unit C Miami FL 33170-6543 Ph: (786) 701-9908 | Im Wellness Center,llc 22339 Sw 112th Ave Unit C Miami FL 33170-6543 Ph: (786) 701-9908 |
| NPI Number | 1366231995 |
|---|---|
| Provider Enumeration Date | 05/01/2025 |
| Last Update Date | 07/24/2026 |
| Certification Date | 07/24/2026 |
| Medicare PECOS PAC ID | 5991215618 |
|---|---|
| Medicare Enrollment ID | O20250611000399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366231995 | NPI | - | NPPES |
| 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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