Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Southeast Wellness Lane Corp

Organization Internal Medicine Physician · NPI 1962962316

Southeast Wellness Lane Corp is an Internal Medicine Physician in Davie, Florida. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13265 SW 39th St
Davie, FL 33330-4748
Phone: (786) 493-2293
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1962962316
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yuri Salas Espinosa — President · (786) 493-2293
NPI enumeratedMarch 21, 2019
Last updated in NPPESMarch 21, 2019
Mailing address13265 Sw 39th St, Davie, FL 33330-4748

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