Provider Demographics
NPI:1043071665
Name:INFINITY MEDICAL WELLNESS
Entity Type:Organization
Organization Name:INFINITY MEDICAL WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:CARINA
Authorized Official - Last Name:ARISTIZABAL
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:305-924-7800
Mailing Address - Street 1:40 SW 13TH ST STE 406
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-4343
Mailing Address - Country:US
Mailing Address - Phone:305-924-7800
Mailing Address - Fax:
Practice Address - Street 1:40 SW 13TH ST STE 406
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-4343
Practice Address - Country:US
Practice Address - Phone:305-924-7800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care