Provider Demographics
NPI:1063680122
Name:GET-WELL NATURALLY, INC
Entity Type:Organization
Organization Name:GET-WELL NATURALLY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:O
Authorized Official - Last Name:JUNARD
Authorized Official - Suffix:
Authorized Official - Credentials:DC; NMD; MD
Authorized Official - Phone:305-974-5848
Mailing Address - Street 1:99 NW 183RD ST STE 117A
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33169-4518
Mailing Address - Country:US
Mailing Address - Phone:305-974-5848
Mailing Address - Fax:305-974-5604
Practice Address - Street 1:99 NW 183RD ST STE 117A
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33169-4518
Practice Address - Country:US
Practice Address - Phone:305-974-5848
Practice Address - Fax:305-974-5604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-12
Last Update Date:2012-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7012261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========Medicaid
FL=========Medicaid
FLU57469Medicare UPIN