NPI 1912405614

Your Space Wellness and Consulting LLC

Organisation Point of Service Aventura, FL

Practice location

Address: 3580 Mystic Pointe Dr, Aventura, FL 33180-2554
Phone: (305) 308-2816

Authorised official

Name: Samantha Drazin
Title: Owner
Phone: (305) 308-2816

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence MH15430 (FL)

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Registry record

NPI: 1912405614
Entity type: Organization
NPI issued: 28 Jan 2018
Record last updated: 16 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.