Seminole Wellness & Injury Center

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

SEMINOLE WELLNESS & INJURY CENTER

Practice address

164 Sausalito Blvd
Casselberry, FL 32707-5764

Phone

(407) 831-4357

NPI assigned

Apr 1, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Richard J Bocco, D.CNPI 1871663807

Title

Director

Phone

(407) 831-4357

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Seminole Integrative Medicine, PLLC Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• Richard Joseph Bocco, D.C.

  • Chiropractor
  • Casselberry, FL
  • NPI 1871663807
  Medicare reassignment NPD Authorized official
• Dylan Christopher Papa

  • Physician Assistant
  • Orlando, FL
  • NPI 1396216529
  Medicare reassignment

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591315200000",
    "number": "1073075974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 SAUSALITO BLVD",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075764",
            "telephone_number": "407-831-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 SAUSALITO BLVD",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075764",
            "telephone_number": "407-831-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMINOLE WELLNESS & INJURY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-01",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A",
        "authorized_official_last_name": "BOCCO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "407-831-4357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER NU,BER",
            "identifier": "1871663807",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seminole Integrative Medicine, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Schall
• Claire Dean Schill, DR.
• Scott Kern
• Steven Howard Selznick, D.O.
• Seminole Wellness & Injury Center
• Joy Tuzon Sera-Josef, APRN
• Melanie Serrano
• Yahaira M Serrano, D.M.D.
• Yaara Shaham
• Muhammad Raza Shahid, DDS

• Physical Medicine & Rehabilitation Physician in Casselberry, FL
• Providers in Casselberry, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.