Wellistics Conditioning Center Inc

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

WELLISTICS CONDITIONING CENTER INC

Doing business as

Wellistics Conditioning Center
Wellistics Conditioning Center INC

Practice address

7392 NW 35TH Ter # 209-210
Miami, FL 33122-1271

Phone

(786) 650-0060

Fax

(786) 536-2503

NPI assigned

Feb 16, 2018

Organization subpart

No

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

Authorized official

Name

Griselda Gazo

Title

Owner

Phone

(504) 994-2243

Specialties & licenses 2

Addresses

Other names 2

• Wellistics Conditioning Center Doing business as
• Wellistics Conditioning Center INC Doing business as

Locations

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1053811968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 JANE LN",
            "city": "SAINT ROSE",
            "state": "LA",
            "postal_code": "700873218",
            "telephone_number": "504-224-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7392 NW 35TH TER # 209-210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331221271",
            "telephone_number": "786-650-0060",
            "fax_number": "786-536-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLISTICS CONDITIONING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "GAZO",
        "authorized_official_first_name": "GRISELDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-994-2243"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellistics Conditioning Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wellistics Conditioning Center INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Health Maintenance Organization in Miami, FL
• Providers in Miami, FL by specialty
• Health Maintenance Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.