Active NPI
Spectrum Wellcare LLC
- Acupuncturist
- Winter Park, FL
National Provider Identifier
1104130129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP 2734
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 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 DirectoryLocations
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.