MY WELLNESS PRACTICE
NPI 1710734975
Family Medicine in Davie, FL

NPI Status: Active since May 03, 2024

Contact Information

12505 ORANGE DR STE 905
DAVIE, FL
ZIP 33330
Phone: (954) 839-6002
Fax: (954) 539-6002

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  • Organization
  • Family Medicine
  • CLIA Number: 10D2314560
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-21-2026

About MY WELLNESS PRACTICE

This page provides the complete NPI Profile along with additional information for My Wellness Practice, a primary care provider established in Davie, Florida operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1710734975 assigned on May 2024. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Sumaira Jagvani Aprn (Owner)

NPI
1710734975
Provider Name
MY WELLNESS PRACTICE
Entity Type
Organization
Location Address
12505 ORANGE DR STE 905 DAVIE, FL 33330
Location Phone
(954) 839-6002
Location Fax
(954) 539-6002
Mailing Address
12505 ORANGE DR STE 905 DAVIE, FL 33330
Mailing Phone
(954) 839-6002
Mailing Fax
(954) 539-6002
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-03-2024
Last Update Date
09-10-2024
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A primary care provider (PCP) like My Wellness Practice sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SUMAIRA JAGVANI APRN

Authorized Official Title
OWNER
Authorized Official Phone
(954) 439-4333

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2314560
Facility Type
Physician Office
Certificate Effective Date
November 22, 2024
Certificate Expiration Date
November 21, 2026
Laboratory Director
SUMAIRA JAGVANI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to My Wellness Practice to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1710734975
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27201438914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 1 + 4 + 3 + 8 + 9 + 1 + 4 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1710734975 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710734975, enumerated in the NPI registry as an "organization" on May 03, 2024

The provider is located at 12505 Orange Dr Ste 905 Davie, Fl 33330 and the phone number is (954) 839-6002

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider's CLIA number is 10D2314560 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on May 03, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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