Provider Demographics
NPI:1265178669
Name:BELLE VIE HEALTH & WELLNESS, CORP.
Entity type:Organization
Organization Name:BELLE VIE HEALTH & WELLNESS, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:DA SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:954-479-6295
Mailing Address - Street 1:10 FAIRWAY DR STE 113
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-1803
Mailing Address - Country:US
Mailing Address - Phone:561-213-0525
Mailing Address - Fax:
Practice Address - Street 1:10 FAIRWAY DR STE 113
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-1803
Practice Address - Country:US
Practice Address - Phone:561-213-0525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-09
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty