| Vira Wellness, LLC | |
|
2429 Hollywood Blvd Ste 300 Hollywood FL 33020-6605 | |
| (954) 669-1125 | |
| (954) 688-7010 |
| Full Name | Vira Wellness, LLC |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2429 Hollywood Blvd Ste 300, Hollywood, Florida |
| Authorized Official Name and Position | Carlos Proenza (OWNER) |
| Authorized Official Contact | 9546691125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vira Wellness, LLC 2429 Hollywood Blvd Ste 300 Hollywood FL 33020-6605 Ph: (954) 669-1125 | Vira Wellness, LLC 2429 Hollywood Blvd Ste 300 Hollywood FL 33020-6605 Ph: (954) 669-1125 |
| NPI Number | 1205452067 |
|---|---|
| Provider Enumeration Date | 06/17/2020 |
| Last Update Date | 06/17/2020 |
| Certification Date | 06/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205452067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | () | Secondary |
| 111N00000X | Chiropractor | () | Secondary |
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