| Whole Again Instute For Wellness, Inc | |
|
12781 Miramar Parkway Suite 1-105 Miramar FL 33027 | |
| (954) 933-8299 | |
| (786) 345-0776 |
| Full Name | Whole Again Instute For Wellness, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 12781 Miramar Parkway Suite 1-105, Miramar, Florida |
| Authorized Official Name and Position | Jessica E Rivera (PRESIDENT, CEO) |
| Authorized Official Contact | 9549338299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whole Again Instute For Wellness, Inc 12781 Miramar Parkway Suite 1-105 Miramar FL 33027 Ph: () - | Whole Again Instute For Wellness, Inc 12781 Miramar Parkway Suite 1-105 Miramar FL 33027 Ph: (954) 933-8299 |
| NPI Number | 1447519418 |
|---|---|
| Provider Enumeration Date | 05/11/2012 |
| Last Update Date | 05/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447519418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (Florida) | Primary |
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