Provider Demographics
NPI:1043707425
Name:WELLNESS BY SCIENCE USA LLC
Entity Type:Organization
Organization Name:WELLNESS BY SCIENCE USA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:BLUSTEIN
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:305-878-3300
Mailing Address - Street 1:13876 SW 56TH ST STE 418
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-6021
Mailing Address - Country:US
Mailing Address - Phone:305-878-3300
Mailing Address - Fax:
Practice Address - Street 1:13876 SW 56TH ST STE 418
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-6021
Practice Address - Country:US
Practice Address - Phone:305-878-3300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-20
Last Update Date:2018-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care