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CUSTOMIZED WELLNESS, LLC
NPI 1790335164
Obstetrics & Gynecology - Gynecology in Sebring, FL

Active since September 17, 2019
131 W CENTER AVENUE, SEBRING, FL 33870(863) 658-1764(855) 847-8646 Get Directions Write a Review

NPPES record last updated: September 17, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Customized Wellness, Llc NPPES

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

CUSTOMIZED WELLNESS, LLC (NPI 1790335164) is a healthcare organization registered as a gynecology in Sebring, Florida and active in the NPI registry since September 2019. The organization lists Amanda C Lucero, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1790335164
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameCUSTOMIZED WELLNESS, LLC
Location Address131 W CENTER AVENUESebring, FL 33870
Mailing Address131 W Center AvenueSebring, FL 33870 · (863) 658-1764 · Fax (855) 847-8646
Phone(863) 658-1764
Fax(855) 847-8646
Organization SubpartNo
Authorized OfficialAmanda C LuceroOwner/provider · (863) 658-1764
Enumeration DateSeptember 17, 2019
✔ NPI 1790335164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
131 W CENTER AVENUE, Sebring, FL 33870
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Customized Wellness, LLC's NPI number?

The NPI number for Customized Wellness, LLC is 1790335164. It was assigned to this organization in the NPPES registry on September 17, 2019.

Where is Customized Wellness, LLC located?

Customized Wellness, LLC is located at 131 W Center Avenue, Sebring, FL 33870. The listed phone number is (863) 658-1764.

What is Customized Wellness, LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for Customized Wellness, LLC was last updated on September 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.