Provider Demographics
NPI:1356195846
Name:KAIWELL HEALTH, LLC
Entity type:Organization
Organization Name:KAIWELL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:LIZAIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ENAMORADO
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:305-707-4394
Mailing Address - Street 1:15321 S DIXIE HWY STE 203
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33157-1814
Mailing Address - Country:US
Mailing Address - Phone:305-707-4394
Mailing Address - Fax:
Practice Address - Street 1:15321 S DIXIE HWY STE 203
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33157-1814
Practice Address - Country:US
Practice Address - Phone:786-707-4934
Practice Address - Fax:845-250-0029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-12
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty