Provider Demographics
NPI:1275987075
Name:WELLNESS COMPANIES OF FLORIDA CORP
Entity Type:Organization
Organization Name:WELLNESS COMPANIES OF FLORIDA CORP
Other - Org Name:PHYSICAL THERAPY NOW AVENTURA/HALLANDALE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-970-1430
Mailing Address - Street 1:2100 E HALLANDALE BEACH BLVD STE 101A
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-3722
Mailing Address - Country:US
Mailing Address - Phone:954-632-7254
Mailing Address - Fax:754-209-7464
Practice Address - Street 1:2100 E HALLANDALE BEACH BLVD STE 101A
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-3722
Practice Address - Country:US
Practice Address - Phone:965-362-7254
Practice Address - Fax:754-209-7464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-18
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Multi-Specialty