Provider Demographics
NPI:1407695430
Name:NEW BODY WELLNESS CENTER INC
Entity type:Organization
Organization Name:NEW BODY WELLNESS CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LIZA
Authorized Official - Middle Name:A
Authorized Official - Last Name:FERRER PEDROSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-758-1462
Mailing Address - Street 1:3850 SW 87TH AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-5473
Mailing Address - Country:US
Mailing Address - Phone:786-758-1462
Mailing Address - Fax:
Practice Address - Street 1:3850 SW 87TH AVE STE 203
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-5473
Practice Address - Country:US
Practice Address - Phone:786-758-1462
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center