Hangover IV & Beauty Therapy

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

HANGOVER IV & BEAUTY THERAPY

Practice address

4600 Military TRL Ste 110
Jupiter, FL 33458-4811

Phone

(561) 774-3443

Fax

(561) 630-6011

NPI assigned

Nov 5, 2018

Organization subpart

Yes

Parent organization

PURE IV THERAPY HEALTH & WELLNESSAs reported in NPPES

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

Authorized official

Name

Anabel Godinez

Title

Vice President

Phone

(561) 774-3443

Specialties & licenses 5

Addresses

Other names 1

• PURE IV THERAPY HEALTH & WELLNESS Doing business as

Part of

Hangover IV Beauty Therapy

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541376000000",
    "number": "1043788425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17977 KEYLIME BLVD",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "33470",
            "telephone_number": "561-774-3443",
            "fax_number": "561-630-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 MILITARY TRL STE 110",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584811",
            "telephone_number": "561-774-3443",
            "fax_number": "561-630-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANGOVER IV & BEAUTY THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PURE IV THERAPY HEALTH & WELLNESS",
        "enumeration_date": "2018-11-05",
        "last_updated": "2018-11-05",
        "status": "A",
        "authorized_official_last_name": "GODINEZ",
        "authorized_official_first_name": "ANABEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "561-774-3443"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical & Laboratory Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PURE IV THERAPY HEALTH & WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hamed Kian Family Chiropractic, Inc
• Samantha Ann Hamilton, ARNP
• Alison Prince Hammonds, LCSW, LPC
• Alice Hamoy
• Hanger Prosthetics & Orthotics, Inc.
• Dennis E Hanney, DO
• Miles Harbur, CS
• Taylor Lynn Hardisty, APRN
• Caitlyn Michalski Harrelson, PA-C
• Susan D Harrill, MS

• Multi-Specialty Clinic/Center in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.