Organization Active NPI

High Impacto Wellness Center

  • Primary Care Clinic/Center
  • Fort Lauderdale, FL
National Provider Identifier
1033813779
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HIGH IMPACTO WELLNESS CENTER
Practice address
1915 NE 45TH St Ste 106
Fort Lauderdale, FL 33308-5118
Phone
(305) 283-6670
Fax
(954) 252-2486
NPI assigned
Mar 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Authorized official

Name
Dr. Patrick Dreher, APRN, PHDNPI 1689016214
Title
Medical Director
Phone
(305) 283-6670

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1915 NE 45TH St Ste 106
Fort Lauderdale, FL 33308-5118

Mailing address

1915 NE 45TH St Ste 106
Fort Lauderdale, FL 33308-5118
Phone (305) 283-6670

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1033813779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 NE 45TH ST STE 106",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085118",
            "telephone_number": "305-283-6670",
            "fax_number": "954-252-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 NE 45TH ST STE 106",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085118",
            "telephone_number": "305-283-6670",
            "fax_number": "954-252-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH IMPACTO WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "DREHER",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "305-283-6670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "APRN, PHD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.