Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

My Wellness Practice

Organization Family Medicine Physician · NPI 1710734975

My Wellness Practice provides Family Medicine Physician services in Davie, Florida. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

12505 Orange Dr Ste 905
Davie, FL 33330-4300
Phone: (954) 839-6002
Fax: (954) 539-6002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1710734975
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sumaira Jagvani — Owner · (954) 439-4333
NPI enumeratedMay 3, 2024
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024
Mailing address12505 Orange Dr Ste 905, Davie, FL 33330-4300

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