ST JUDE HEALTH WELLNESS CENTER CORP (NPI# 1336661925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336661925 |
| Entity Type | Organization |
| Organization Name | ST JUDE HEALTH WELLNESS CENTER CORP |
| Practice Address |
10200 Nw 25th St Ste 114 Doral FL 33172-5919 |
| Practice Telephone | 7863626248 |
| Practice Fax Number | 7863626331 |
| Mailing Telephone | 7863626248 |
| Mailing Fax Number | 7863626331 |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2020-10-05 |
| Authorized Official Name | MARILYN RODRIGUEZ (OWNER) |
| Authorized Official Telephone | 7863626248 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | HCC11081 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
10200 NW 25TH ST STE 114 |
| City | DORAL |
| State | FL |
| Zip Code | 33172-5919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417163791 | Alicia Rivera Mirabal | General Practice | 10200 Nw 25th St Ste 114, Doral, FL 33172-5919 | 2007-05-15 |
| 1073091708 | Biomolecular Treatment Center | Internal Medicine | 10200 Nw 25th St Ste 114, Doral, FL 33172-5919 | 2018-08-03 |
| 1992931547 | Ritz Mental Health & Substance Abuse Clinic | Clinic/Center | 10200 Nw 25th St Ste 114, Doral, FL 33172-5919 | 2009-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801366463 | Magela De Las Mercedes Rodriguez | Behavior Technician | 11252 Nw 6 Street, Miami, FL 33172 | 2018-11-27 |
| 1477030666 | Natacha Garcia | Behavior Technician | 181 Nw 97 Ave Apto 416, Miami, FL 33172 | 2018-07-20 |
| 1720578701 | Marisela Hernandez | Behavioral Analyst | 10825 Nw 7th St Apt 12, Miami, FL 33172 | 2018-05-15 |
| 1083113054 | Fuerza Vital Medical Institute, Corp | Speech-Language Pathologist | 8725 Nw 18 Terr Suite 209, Doral, FL 33172 | 2018-02-06 |
| 1063923522 | Kristen Nicole Otero | Counselor | 1414 Nw 107 Ave Suite 109, Doral, FL 33172 | 2017-10-23 |
| 1003327339 | All Orthopedic Supplies Corp | Prosthetic/Orthotic Supplier | 175 Fontainbleau Blvd, Ste P1, Miami, FL 33172 | 2017-10-13 |
| 1861901944 | Lyanne M Melendez | Speech-Language Pathologist | 1750 Nw 107 Ave, Unit P-901, Miami, FL 33172 | 2017-09-21 |
| 1295259166 | Family Tender Care Services Inc | Behavioral Analyst | 9360 Fontainebleau Blvd, Unit 514, Miami, FL 33172 | 2017-08-01 |
| 1992229074 | Maria F Palabez | Behavior Technician | 9369 Fontainebleau Blvd J225, Miami, FL 33172 | 2017-07-31 |
| 1700306602 | Jenny Lemus | Behavior Technician | 10200 Nw 25th St Suite 205, Doral, FL 33172 | 2017-06-21 |
| Find all providers in zip 33172 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952934648 | Laura Maria Alvarez | Physical Medicine & Rehabilitation | 5311 Nw 106th Ct, Doral, FL 33178-6627 | 2020-02-20 |
| 1821434861 | Florida Pritikin Center, LLC | Physical Medicine & Rehabilitation | 8755 Nw 36th St, Doral, FL 33178-2401 | 2013-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031272 | Optimal Rehab Care, LLC | Physical Medicine & Rehabilitation | 872 Woodside Rd, Maitland, FL 32751-5134 | 2020-10-21 |
| 1952900243 | New Beginnings Medical and Rehabilitation Center Inc | Physical Medicine & Rehabilitation | 13501 Sw 128th St Unit 201-202, Miami, FL 33186-5882 | 2020-10-19 |
| 1821605866 | Victoria Franco | Physical Medicine & Rehabilitation | 8921 Edgewater Bnd, Parkland, FL 33076-4563 | 2020-09-24 |
| 1518572148 | Marqus Ellery Fisher | Physical Medicine & Rehabilitation | 289 Sw Stonegate Ter Ste 101, Lake City, FL 32024-3457 | 2020-09-10 |
| 1447864806 | Goran Andonovski | Physical Medicine & Rehabilitation | 3108 Santa Barbara Blvd Ste D, Cape Coral, FL 33914-4537 | 2020-09-03 |
| 1770194656 | Maria Jose Gamboa | Physical Medicine & Rehabilitation | 8020 Cleary Blvd Apt 207, Plantation, FL 33324-1349 | 2020-08-13 |
| 1609486067 | Elizabeth Pereira | Physical Medicine & Rehabilitation | 4925 Grande Dr, Pensacola, FL 32504-8965 | 2020-07-31 |
| 1790393874 | Np Health of Fl LLC | Physical Medicine & Rehabilitation | 27794 Autumn Breeze Cir, Wesley Chapel, FL 33544-7839 | 2020-07-15 |
| 1144847138 | Pohlman Pain Associates LLC | Physical Medicine & Rehabilitation | 5341 Atlantic Ave Ste 302, Delray Beach, FL 33484-8166 | 2020-06-25 |
| 1316563661 | Brooke Marshall | Physical Medicine & Rehabilitation | 2300 Jenks Ave Ste C, Lynn Haven, FL 32444-5469 | 2020-06-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.