Active NPI
Stay Well LLC
Doing business as Stay Well Pediatric Center
- Clinic/Center
- Greenacres, FL
National Provider Identifier
1093380057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- STAY WELL LLC
- Doing business as
- Stay Well Pediatric Center
- Practice address
- 6295 Lake Worth Rd Ste 40
Greenacres, FL 33463-3034 - Phone
- (561) 704-1275
- NPI assigned
- May 23, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yordany Martinez
- Title
- Officer
- Phone
- (561) 704-1275
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
6295 Lake Worth Rd Ste 40
Greenacres, FL 33463-3034
Mailing address
3898 Via Poinciana Ste 15
Lake Worth, FL 33467-2951
Phone (561) 308-0818
Other names 1
- Stay Well Pediatric Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6295 Lake Worth Rd
Ste 3B
Greenacres, FL 33463
6295 Lake Worth Rd
Ste 38
Greenacres, FL 33463
Phone (561) 328-8609
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Palm Springs, FL
- NPI 1073997235
-
- Behavior Technician
- West Palm Beach, FL
- NPI 1902505258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736121600000",
"number": "1093380057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3898 VIA POINCIANA STE 15",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334672951",
"telephone_number": "561-308-0818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6295 LAKE WORTH RD STE 40",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334633034",
"telephone_number": "561-704-1275"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAY WELL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-23",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A",
"authorized_official_last_name": "MARTINEZ",
"authorized_official_first_name": "YORDANY",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "561-704-1275"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Stay Well Pediatric Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Greenacres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.