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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HEALTH AND WELLNESS PREMIUM SERVICES LLC
NPI 1659192060
Nurse Practitioner - Family in Mangonia Park, FL

Active since October 18, 2024
1710 E TIFFANY DR STE 229, MANGONIA PARK, FL 33407(561) 606-6023(561) 437-8410 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Health And Wellness Premium Services Llc NPPES

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

HEALTH AND WELLNESS PREMIUM SERVICES LLC (NPI 1659192060) is a healthcare organization registered as a family in Mangonia Park, Florida and active in the NPI registry since October 2024. The organization lists Kesann K Dormand, Ceo, as its authorized official.

NPPES Registry Identity

NPI1659192060
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameHEALTH AND WELLNESS PREMIUM SERVICES LLC
Location Address1710 E TIFFANY DR STE 229Mangonia Park, FL 33407-3242
Mailing Address1710 E Tiffany Dr Ste 229Mangonia Park, FL 33407-3242 · (561) 247-3069 · Fax (561) 437-8410
Phone(561) 606-6023
Fax(561) 437-8410
Organization SubpartNo
Authorized OfficialKesann K DormandCeo · (561) 779-0728
Enumeration DateOctober 18, 2024
Last NPPES UpdateOctober 6, 2026
NPPES CertifiedOctober 6, 2026
✔ NPI 1659192060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1710 E TIFFANY DR STE 229, Mangonia Park, FL 33407
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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 Health And Wellness Premium Services LLC's NPI number?

The NPI number for Health And Wellness Premium Services LLC is 1659192060. It was assigned to this organization in the NPPES registry on October 18, 2024.

Where is Health And Wellness Premium Services LLC located?

Health And Wellness Premium Services LLC is located at 1710 E Tiffany Dr Ste 229, Mangonia Park, FL 33407. The listed phone number is (561) 606-6023.

What is Health And Wellness Premium Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Health And Wellness Premium Services LLC was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.