Customized Wellness, LLC
NPI 1790335164 · Gynecology Physician · Sebring, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Customized Wellness, LLC is a Gynecology Physician organization in Sebring, FL (NPI 1790335164).
Provider details
- NPI number
- 1790335164
- Entity type
- Organization
- Primary specialty
- Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amanda Lucero, Owner/Provider(863) 658-1764
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
Mailing address
Registry dates
- Enumerated
- 2019-09-17
- Last updated
- 2019-09-17
Frequently asked questions
- What is Customized Wellness, LLC's NPI number?
- Customized Wellness, LLC's National Provider Identifier (NPI) is 1790335164, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Customized Wellness, LLC?
- Customized Wellness, LLC is classified in the NPPES registry as Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Customized Wellness, LLC located?
- Customized Wellness, LLC's practice location on file with NPPES is 131 W Center Avenue, Sebring, FL 33870.
- What is Customized Wellness, LLC's phone number?
- The practice phone number listed in the NPPES registry for Customized Wellness, LLC is (863) 658-1764.
- Does Customized Wellness, LLC accept Medicare?
- Customized Wellness, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Customized Wellness, LLC?
- The authorized official listed on Customized Wellness, LLC's NPPES record is Amanda Lucero, Owner/Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Customized Wellness, LLC's NPI active?
- Yes — Customized Wellness, LLC's NPI (1790335164) is active in the NPPES registry as of the last update on 2019-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.