OrganizationActive
Senior Wellness Solution
NPI 1053658740 · General Practice Physician · Miami Beach, FL
Provider details
- NPI number
- 1053658740
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Averel Snyder, Chief Medical Officer(404) 210-5993
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1000 5th St
Suite 200
Miami Beach, FL 33139-6508
Phone: (404) 210-5993
Street-level locationGet directions
Mailing address
5369 Brooke Farm Dr
Dunwoody, GA 30338-3150
Registry dates
- Enumerated
- 2013-01-15
- Last updated
- 2013-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.