Provider Demographics
NPI:1164107694
Name:FIEL WELLNESS HEALTH INC
Entity Type:Organization
Organization Name:FIEL WELLNESS HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CRISPIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:FIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-360-2369
Mailing Address - Street 1:2141 SW 1ST ST STE 204-205
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-1694
Mailing Address - Country:US
Mailing Address - Phone:786-360-2369
Mailing Address - Fax:786-409-4027
Practice Address - Street 1:2141 SW 1ST ST STE 204-205
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-1694
Practice Address - Country:US
Practice Address - Phone:786-360-2369
Practice Address - Fax:786-409-4027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-21
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty