CUSTOMIZED WELLNESS, LLC – NPI #1790335164
Obstetrics & Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

CUSTOMIZED WELLNESS, LLC is a provider located in SEBRING, FL. NPPES has assigned the NPI number 1790335164 to CUSTOMIZED WELLNESS, LLC on September 17, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207VG0400X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CUSTOMIZED WELLNESS, LLC below.

NPI Profile for
CUSTOMIZED WELLNESS, LLC

NPI Number
1790335164
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CUSTOMIZED WELLNESS, LLC
Primary location
131 W CENTER AVENUE
SEBRING, FL 33870
Phone: (863) 658-1764 Fax: (855) 847-8646
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
AMANDA LUCERO
OWNER/PROVIDER
Phone: (863) 658-1764
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VG0400X
- Obstetrics & Gynecology / Gynecology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.