Premier Wellness Centers PSL

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PREMIER WELLNESS CENTERS PSL

Practice address

7043 S US Highway 1 Ste 100
Port St Lucie, FL 34952-1401

Phone

(772) 879-8100

Fax

(772) 879-8101

NPI assigned

Feb 22, 2021

Organization subpart

No

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

Authorized official

Name

Dr. William Jensen, DC

Title

Manager

Phone

(772) 879-8100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1063006088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7043 S US HIGHWAY 1 STE 100",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349521401",
            "telephone_number": "772-879-8100",
            "fax_number": "772-879-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7043 S US HIGHWAY 1 STE 100",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349521401",
            "telephone_number": "772-879-8100",
            "fax_number": "772-879-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER WELLNESS CENTERS PSL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "772-879-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Physical Therapy Sport Medicine Inc
• Premier Spine Specialists, LLC
• Premier Surgical Assisting LLC
• Premier Wellness Centers East LLC
• Premier Wellness Centers LLC
• Premise Health of Florida Medical PA
• Premium Primary Care & Walk-in Clinic Inc
• Susan M Prendergast, ARNP
• Deanna Presti, PT
• Linda Prevalon

• Chiropractor in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.