Provider Demographics
NPI:1407641996
Name:ANCHOR OF HOPE WELLNESS
Entity type:Organization
Organization Name:ANCHOR OF HOPE WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMILIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-354-9884
Mailing Address - Street 1:140 NW 15TH PL
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33060-5463
Mailing Address - Country:US
Mailing Address - Phone:954-354-9884
Mailing Address - Fax:954-551-2606
Practice Address - Street 1:140 NW 15TH PL
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-5463
Practice Address - Country:US
Practice Address - Phone:954-354-9884
Practice Address - Fax:954-551-2606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty