Spectra Health & Wellness LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SPECTRA HEALTH & WELLNESS LLC

Practice address

101 N US Highway 1 Ste 213
Fort Pierce, FL 34950-4262

Phone

(877) 583-4033

Fax

(561) 935-9889

NPI assigned

Mar 7, 2019

Organization subpart

No

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

Authorized official

Name

Amparo Cabrera Quintana

Title

Owner

Phone

(877) 583-4033

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1043778186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N US HIGHWAY 1 STE 213",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504262",
            "telephone_number": "877-583-4033",
            "fax_number": "561-935-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N US HIGHWAY 1 STE 213",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504262",
            "telephone_number": "877-583-4033",
            "fax_number": "561-935-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRA HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-07",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "QUINTANA",
        "authorized_official_first_name": "AMPARO",
        "authorized_official_middle_name": "CABRERA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-583-4033"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Fort Pierce, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.