Provider Demographics
NPI:1528844230
Name:SB VIRTUAL HEALTH AND WELLNESS, LLC
Entity type:Organization
Organization Name:SB VIRTUAL HEALTH AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:JONES
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:855-297-8818
Mailing Address - Street 1:2701 W OAKLAND PARK BLVD STE 310 4/6
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33311-1389
Mailing Address - Country:US
Mailing Address - Phone:954-306-3481
Mailing Address - Fax:445-300-9263
Practice Address - Street 1:2701 W OAKLAND PARK BLVD STE 310 4/6
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33311-1389
Practice Address - Country:US
Practice Address - Phone:855-297-8818
Practice Address - Fax:445-300-9263
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMPCARE MEDICAL CENTER, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-09-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty