OrganizationActive
Ezential Rejuvination and Wellness Center, LLC.
NPI 1124688924 · Health Service Clinic/Center · Hialeah, FL
Provider details
- NPI number
- 1124688924
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Odalys Rodman, Administrator(305) 575-1776
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
145 E 49th St
Hialeah, FL 33013-1846
Phone: (305) 575-1776
Fax: (305) 575-1780
Street-level locationGet directions
Mailing address
145 E 49th St
Hialeah, FL 33013-1846
Registry dates
- Enumerated
- 2019-06-14
- Last updated
- 2019-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.