Provider Demographics
NPI:1225609951
Name:THE WELLNESS FORCE LLC
Entity Type:Organization
Organization Name:THE WELLNESS FORCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:LEQUERICA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-660-1356
Mailing Address - Street 1:14811 SW 170TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33187-1774
Mailing Address - Country:US
Mailing Address - Phone:786-486-6612
Mailing Address - Fax:
Practice Address - Street 1:12308 SW 132ND CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-6451
Practice Address - Country:US
Practice Address - Phone:786-660-1356
Practice Address - Fax:800-418-7089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-03
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier