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SOUTHEAST WELLNESS LANE CORP
NPI 1962962316
Internal Medicine in Davie, FL

Active since March 21, 2019
13265 SW 39TH ST, DAVIE, FL 33330(786) 493-2293 Get Directions Write a Review

NPPES record last updated: March 21, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southeast Wellness Lane Corp NPPES

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

SOUTHEAST WELLNESS LANE CORP (NPI 1962962316) is a healthcare organization registered as an internal medicine in Davie, Florida and active in the NPI registry since March 2019. The organization lists Yuri Salas Espinosa, President, as its authorized official.

NPPES Registry Identity

NPI1962962316
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSOUTHEAST WELLNESS LANE CORP
Location Address13265 SW 39TH STDavie, FL 33330-4748
Mailing Address13265 Sw 39th StDavie, FL 33330-4748 · (786) 493-2293
Phone(786) 493-2293
Organization SubpartNo
Authorized OfficialYuri Salas EspinosaPresident · (786) 493-2293
Enumeration DateMarch 21, 2019
✔ NPI 1962962316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
13265 SW 39TH ST, Davie, FL 33330
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Other Identifiers 1

Medicaid006456700FL

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

LERISBEL GALVEZ
Case Manager/Care Coordinator
13265 SW 39TH ST
DAVIE, FL 33330
Broward County (786) 374-4179
GEIDY SALAS ESPINOSA
Behavior Technician
13265 SW 39TH ST
DAVIE, FL 33330
Broward County (954) 393-6441

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 Southeast Wellness Lane Corp's NPI number?

The NPI number for Southeast Wellness Lane Corp is 1962962316. It was assigned to this organization in the NPPES registry on March 21, 2019.

Where is Southeast Wellness Lane Corp located?

Southeast Wellness Lane Corp is located at 13265 SW 39th St, Davie, FL 33330. The listed phone number is (786) 493-2293.

What is Southeast Wellness Lane Corp's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Southeast Wellness Lane Corp was last updated on March 21, 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.