Provider Demographics
NPI:1265147151
Name:EPI WELLNESS, LLC
Entity type:Organization
Organization Name:EPI WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEAD ACUPUNCTURE PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:BEN
Authorized Official - Middle Name:AARON
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:AP, LAC
Authorized Official - Phone:954-545-1000
Mailing Address - Street 1:2840 CENTER PORT CIR
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33064-2136
Mailing Address - Country:US
Mailing Address - Phone:954-545-1000
Mailing Address - Fax:
Practice Address - Street 1:2840 CENTER PORT CIR
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-2136
Practice Address - Country:US
Practice Address - Phone:954-545-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-16
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service