| Penstar Family Wellness Inc | |
|
16666 Ne 19th Ave Ste 112 North Miami Beach FL 33162-3158 | |
| (954) 281-5022 | |
| Not Available |
| Full Name | Penstar Family Wellness Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 16666 Ne 19th Ave Ste 112, North Miami Beach, Florida |
| Authorized Official Name and Position | Jennifer Villareal (PRESIDENT) |
| Authorized Official Contact | 9542815022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Penstar Family Wellness Inc 16666 Ne 19th Ave Ste 112 North Miami Beach FL 33162-3158 Ph: () - | Penstar Family Wellness Inc 16666 Ne 19th Ave Ste 112 North Miami Beach FL 33162-3158 Ph: (954) 281-5022 |
| NPI Number | 1083223085 |
|---|---|
| Provider Enumeration Date | 07/24/2020 |
| Last Update Date | 07/24/2020 |
| Certification Date | 07/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083223085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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