BEWELL MEDICAL CENTER LLC
NPI 1275214744
Clinic/Center - Primary Care in Hollywood, FL
About Bewell Medical Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BEWELL MEDICAL CENTER LLC (NPI 1275214744) is a healthcare organization registered as a primary care in Hollywood, Florida and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through November 28, 2027 and lists Jany Gonzalez, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2294681
Be Well Medical Center LLC · Hollywood, FLOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bewell Medical Center LLC's NPI number?
The NPI number for Bewell Medical Center LLC is 1275214744. It was assigned to this organization in the NPPES registry on July 27, 2023.
Where is Bewell Medical Center LLC located?
Bewell Medical Center LLC is located at 4700 Sheridan St Ste R, Hollywood, FL 33021. The listed phone number is (786) 797-9475.
What is Bewell Medical Center LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Bewell Medical Center LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2294681) is associated with this NPI, valid through November 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Bewell Medical Center LLC was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Bewell Medical Center Llc · NPI 1275214744
Primary Care organization in Hollywood, Florida. Organization record, active in the CMS NPPES registry since July 27, 2023.
## Identity
- **NPI:** 1275214744 (Entity type: Organization)
- **Enumerated:** July 27, 2023
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Jany Gonzalez, OWNER
## Practice location
- **Address:** 4700 SHERIDAN ST STE R, Hollywood, FL 33021-3416
- **Phone:** (786) 797-9475
## Record status
- **NPPES last updated:** July 27, 2023
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1275214744) · Data from the CMS NPPES public registry.