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BACK TO BASIC WELLNESS SERVICES LLC
NPI 1861733628
Clinic/Center - Primary Care in Pembroke Pines, FL

Active since March 04, 2013
15757 PINES BLVD, SUITE 295, PEMBROKE PINES, FL 33027(305) 761-4388 Get Directions Write a Review

NPPES record last updated: April 10, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Back To Basic Wellness Services Llc NPPES

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

BACK TO BASIC WELLNESS SERVICES LLC (NPI 1861733628) is a healthcare organization registered as a primary care in Pembroke Pines, Florida and active in the NPI registry since March 2013. The organization lists Sharon Marie Velez-maymi, President/owner, as its authorized official.

NPPES Registry Identity

NPI1861733628
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBACK TO BASIC WELLNESS SERVICES LLC
Location Address15757 PINES BLVD, SUITE 295Pembroke Pines, FL 33027-1207
Mailing Address15757 Pines Blvd, Suite 295Pembroke Pines, FL 33027-1207 · (305) 761-4388
Phone(305) 761-4388
Organization SubpartNo
Authorized OfficialSharon Marie Velez-maymiPresident/owner · (305) 761-4388
Enumeration DateMarch 4, 2013
Last NPPES UpdateApril 10, 2013
✔ NPI 1861733628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
15757 PINES BLVD, Pembroke Pines, FL 33027
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ILYSSA HERSHEY PSYD LLC
Psychologist (Clinical)
15757 PINES BLVD, PMB 311
PEMBROKE PINES, FL 33027
Broward County (954) 849-2012
DR. GONZALO J IRAVEDRA MD
Internal Medicine
15757 PINES BLVD, SUITE 395
PEMBROKE PINES, FL 33027
Broward County (954) 475-5500
MERCEDES PALMERO GONZALEZ MS.ED
Developmental Therapist
15757 PINES BLVD, #149
PEMBROKE PINES, FL 33027
Broward County (954) 448-2136

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 Back To Basic Wellness Services LLC's NPI number?

The NPI number for Back To Basic Wellness Services LLC is 1861733628. It was assigned to this organization in the NPPES registry on March 4, 2013.

Where is Back To Basic Wellness Services LLC located?

Back To Basic Wellness Services LLC is located at 15757 Pines Blvd Suite 295, Pembroke Pines, FL 33027. The listed phone number is (305) 761-4388.

What is Back To Basic Wellness Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Back To Basic Wellness Services LLC was last updated on April 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.