OrganizationActive
Bountiful Wellness, LLC
NPI 1366974313 · Health Maintenance Organization · Lauderhill, FL
Provider details
- NPI number
- 1366974313
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Vikke Brooks, Director(954) 242-4988
- License
- IMT1950 (FL)
Specialties & taxonomies
Managed Care Organizations
Practice location
4010 Inverrary Blvd
9a
Lauderhill, FL 33319-4319
Phone: (954) 242-4988
Approximate (ZIP-level) locationGet directions
Mailing address
4010 Inverrary Blvd
Lauderhill, FL 33319-4319
Registry dates
- Enumerated
- 2017-03-29
- Last updated
- 2017-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.