Southeast Wellness Lane Corp
NPI 1962962316ActiveOrganization· Internal Medicine· Davie, FL
Internal Medicine in Davie, Florida, registered in NPPES in March 2019. The authorized official on file is Yuri Salas Espinosa, MD, President.
Overview
| NPI | 1962962316 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 21, 2019 |
| Last updated in NPPES | Mar 21, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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