Provider Demographics
NPI:1821004656
Name:AMERICAN WELLNESS CENTERS, INC.
Entity Type:Organization
Organization Name:AMERICAN WELLNESS CENTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:GILRADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-445-9696
Mailing Address - Street 1:4757 SW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-2546
Mailing Address - Country:US
Mailing Address - Phone:305-445-9696
Mailing Address - Fax:305-445-9984
Practice Address - Street 1:4757 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2546
Practice Address - Country:US
Practice Address - Phone:305-445-9696
Practice Address - Fax:305-445-9984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL684846Medicare ID - Type UnspecifiedCORF