Provider Demographics
NPI:1255729448
Name:FLO WELLNESS AND ADVANCEMENT
Entity type:Organization
Organization Name:FLO WELLNESS AND ADVANCEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KARIM
Authorized Official - Middle Name:
Authorized Official - Last Name:HABAYEB
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:305-458-7434
Mailing Address - Street 1:1450 MADRUGA AVENUE
Mailing Address - Street 2:SUITE 402
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146
Mailing Address - Country:US
Mailing Address - Phone:786-401-7214
Mailing Address - Fax:
Practice Address - Street 1:1450 MADRUGA AVENUE
Practice Address - Street 2:SUITE 402
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146
Practice Address - Country:US
Practice Address - Phone:786-401-7214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-23
Last Update Date:2014-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9650305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization