WELLSPRING PRESERVATION MEDICAL VACATION BOUTIQUE & SPA, LLC
NPI 1306301635
Nurse Practitioner - Adult Health in Miami, FL

Q: What is Wellspring Preservation Medical Vacation Boutique & Spa, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Active since January 31, 2019

14051 SW 152ND TER, MIAMI, FL 33177(786) 261-9088 Get Directions Write a Review

NPPES record last updated: January 31, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Wellspring Preservation Medical Vacation Boutique & Spa, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WELLSPRING PRESERVATION MEDICAL VACATION BOUTIQUE & SPA, LLC (NPI 1306301635) is a healthcare organization registered as an adult health in Miami, Florida and active in the NPI registry since January 2019. The organization maintains a secondary practice location in Miami and lists Sophia M Ferguson, Agacnp-bc, as its authorized official.

NPPES Registry Identity

NPI1306301635

Entity TypeOrganization

Primary Taxonomy363LA2200X

Legal Business NameWELLSPRING PRESERVATION MEDICAL VACATION BOUTIQUE & SPA, LLC

Location Address14051 SW 152ND TERMiami, FL 33177-0910

Mailing Address14051 Sw 152nd TerMiami, FL 33177-0910 · (786) 261-9088

Phone(786) 261-9088

Organization SubpartNo

Authorized OfficialSophia M FergusonAgacnp-bc · (786) 261-9088

Enumeration DateJanuary 31, 2019

✔ NPI 1306301635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

14051 SW 152ND TER, Miami, FL 33177

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Secondary Practice Location 1

Location 114051 SW 152ND TERRACEMIAMI, FL 33177 · Phone (786) 261-9088

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Wellspring Preservation Medical Vacation Boutique & Spa, LLC's NPI number?

The NPI number for Wellspring Preservation Medical Vacation Boutique & Spa, LLC is 1306301635. It was assigned to this organization in the NPPES registry on January 31, 2019.

Where is Wellspring Preservation Medical Vacation Boutique & Spa, LLC located?

Wellspring Preservation Medical Vacation Boutique & Spa, LLC is located at 14051 SW 152nd Ter, Miami, FL 33177. The listed phone number is (786) 261-9088.

What is Wellspring Preservation Medical Vacation Boutique & Spa, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Wellspring Preservation Medical Vacation Boutique & Spa, LLC was last updated on January 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.