1922201847 NPI number — DR. ARRANDT-WELLNESS CENTER, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922201847 NPI number — DR. ARRANDT-WELLNESS CENTER, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DR. ARRANDT-WELLNESS CENTER, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1922201847
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/04/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10651 N KENDALL DRIVE
Provider Second Line Business Mailing Address:
SUITE #222
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33176
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-279-0850
Provider Business Mailing Address Fax Number:
305-279-7085

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10651 N KENDALL DR
Provider Second Line Business Practice Location Address:
SUITE #222
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33176-1569
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-279-0850
Provider Business Practice Location Address Fax Number:
305-279-7085
Provider Enumeration Date:
06/07/2007

Additional Information

Authorized Official

Authorized Official Last Name:
ARRANDT
Authorized Official First Name:
LEWIS
Authorized Official Middle Name:
JONATHAN
Authorized Official Title or Position:
PRESIDENT AND COO
Authorized Official Telephone Number:
305-279-0850

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  CH0002908 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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