Provider Demographics
NPI:1467599845
Name:METRO DADE FIREFIGHTERS WELLNESS CENTER
Entity Type:Organization
Organization Name:METRO DADE FIREFIGHTERS WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:WELLNESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:SALOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-477-2329
Mailing Address - Street 1:8000 NW 21ST ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1620
Mailing Address - Country:US
Mailing Address - Phone:305-477-2329
Mailing Address - Fax:305-477-3039
Practice Address - Street 1:8000 NW 21ST ST
Practice Address - Street 2:SUITE 200
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33122-1620
Practice Address - Country:US
Practice Address - Phone:305-477-2329
Practice Address - Fax:305-477-3039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL521917-5261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care