Organization Active NPI

Center for Intergrative Wellness

  • Sports Physician Chiropractor
  • Lauderdale by the Sea, FL
National Provider Identifier
1013171487
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
CH8104 Issued in FL
Legal business name
CENTER FOR INTERGRATIVE WELLNESS
Practice address
4342 E Tradewinds Ave
Lauderdale by the Sea, FL 33308-5044
Phone
(954) 491-3103
Fax
(954) 491-3105
NPI assigned
Jul 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Bret Hoffer, D.C.
Title
President
Phone
(954) 491-3103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X CH8104 FL Primary

Addresses

Primary practice location

4342 E Tradewinds Ave
Lauderdale by the Sea, FL 33308-5044

Mailing address

4342 E Tradewinds Ave
Lauderdale by the Sea, FL 33308-5044
Phone (954) 491-3103

National Provider Directory

National Provider Directory

Locations

4342 E Tradewinds Ave
Lauderdale by the Sea, FL 33308
Phone (954) 491-3103

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1013171487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4342 E TRADEWINDS AVE",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333085044",
            "telephone_number": "954-491-3103",
            "fax_number": "954-491-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4342 E TRADEWINDS AVE",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333085044",
            "telephone_number": "954-491-3103",
            "fax_number": "954-491-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR INTERGRATIVE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "HOFFER",
        "authorized_official_first_name": "BRET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-491-3103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "FL",
            "license": "CH8104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale by the Sea, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.