Provider Demographics
NPI:1639762974
Name:YOUR WELL-BEING
Entity Type:Organization
Organization Name:YOUR WELL-BEING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DNP
Authorized Official - Prefix:DR
Authorized Official - First Name:JEAN PIERROT
Authorized Official - Middle Name:
Authorized Official - Last Name:ORELUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-418-2003
Mailing Address - Street 1:8641 NW 18TH ST
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-3327
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8641 NW 18TH ST
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-3327
Practice Address - Country:US
Practice Address - Phone:954-418-2003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-17
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care