Organization Active NPI

Spectrum Wellcare LLC

  • Acupuncturist
  • Winter Park, FL
National Provider Identifier
1104130129
Registry record updated Aug 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP 2734 Issued in FL
Legal business name
SPECTRUM WELLCARE LLC
Practice address
1298 Minnesota Ave Ste a
Winter Park, FL 32789-7104
Phone
(407) 615-4102
NPI assigned
Aug 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2010

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

Authorized official

Name
Mr. Ajay Purohit, AP
Title
President
Phone
(407) 615-4102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AP 2734 FL Primary

Addresses

Primary practice location

1298 Minnesota Ave Ste a
Winter Park, FL 32789-7104

Mailing address

13201 Lake Clarice Dr
Windermere, FL 34786-7405
Phone (407) 615-4102

National Provider Directory

National Provider Directory

Locations

1298 Minnesota Ave
Ste A
Winter Park, FL 32789
Phone (321) 217-0609

NPI Registry JSON

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280707200000",
    "number": "1104130129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13201 LAKE CLARICE DR",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347867405",
            "telephone_number": "407-615-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1298 MINNESOTA AVE STE A",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327897104",
            "telephone_number": "407-615-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM WELLCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-02",
        "last_updated": "2010-08-02",
        "status": "A",
        "authorized_official_last_name": "PUROHIT",
        "authorized_official_first_name": "AJAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-615-4102",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "AP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 2734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; 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.