Provider Demographics
NPI:1497427926
Name:OXUM HEALTH & WELLNESS LLC
Entity Type:Organization
Organization Name:OXUM HEALTH & WELLNESS LLC
Other - Org Name:OXUM HEALTH & WELLNESS LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YORLIEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEYVA
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:786-347-2700
Mailing Address - Street 1:2109 NE 38TH RD
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-5105
Mailing Address - Country:US
Mailing Address - Phone:786-763-9776
Mailing Address - Fax:
Practice Address - Street 1:12460 SW 8TH ST STE 205
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33184-1437
Practice Address - Country:US
Practice Address - Phone:786-763-9776
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-03
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care