| Fortress Wellness Center | |
|
2601 Sw 37th Ave Ste 505 Miami FL 33133-2750 | |
| (305) 514-0861 | |
| (305) 521-8336 |
| Full Name | Fortress Wellness Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2601 Sw 37th Ave Ste 505, Miami, Florida |
| Authorized Official Name and Position | Joel Hernandez (OWNER) |
| Authorized Official Contact | 3054912234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fortress Wellness Center 11 Island Ave Apt 810 Miami Beach FL 33139-1323 Ph: (305) 491-2234 | Fortress Wellness Center 2601 Sw 37th Ave Ste 505 Miami FL 33133-2750 Ph: (305) 514-0861 |
| NPI Number | 1871286716 |
|---|---|
| Provider Enumeration Date | 05/26/2023 |
| Last Update Date | 05/26/2023 |
| Certification Date | 05/26/2023 |
| Medicare PECOS PAC ID | 0749713758 |
|---|---|
| Medicare Enrollment ID | O20241030000188 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871286716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
| Provider Name | Joel Hernandez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1902866494 PECOS PAC ID: 9032112313 Enrollment ID: I20241030000317 |
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