OrganizationParadise Wellness Medical Center CorpClinic/CenterAmbulatory Health Care FacilitiesPractice Address4355 W 16th Ave Ste 201, Hialeah, FL 33012-7667(786) 631-3763PECOS EnrollmentBased on the most recent information from CMS, provider Paradise Wellness Medical Center Corp does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1679974182Provider TypeOrganizationFull NameParadise Wellness Medical Center CorpSubpartNoEnumeration Date9/16/2014Last Updated9/16/2014Contact InformationPractice LocationPractice Address4355 W 16th Ave Ste 201, Hialeah, FL 33012-7667Phone(786) 631-3763Fax(786) 631-3836Mailing LocationMailing Address4355 W 16th Ave Ste 201, Hialeah, FL 33012-7667Phone(786) 631-3763Fax(786) 631-3836Authorized OfficialNameQueral, Luis A (Medical Doctor)Phone(786) 631-3763Provider TaxonomiesCodeDescriptionLicenseCode261QH0100XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseME118298Florida