Organization Active NPI

Wellington Wellness and Medical Center

  • Multi-Specialty Clinic/Center
  • Wellington, FL
National Provider Identifier
1104259282
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
WELLINGTON WELLNESS AND MEDICAL CENTER
Practice address
12794 Forest Hill Blvd Ste 18a
Wellington, FL 33414-4717
Phone
(954) 678-0078
Fax
(954) 370-6447
NPI assigned
Aug 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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

Authorized official

Name
Mark Seifert
Title
Billing Manager
Phone
(954) 678-0078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

12794 Forest Hill Blvd Ste 18a
Wellington, FL 33414-4717

Mailing address

12794 Forest Hill Blvd Ste 18a
Wellington, FL 33414-4717
Phone (954) 678-0078

National Provider Directory

National Provider Directory

Locations

12794 Forest Hill Blvd
Ste 18A
Wellington, FL 33414
Phone (561) 601-2345

NPI Registry JSON

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1104259282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12794 FOREST HILL BLVD STE 18A",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144717",
            "telephone_number": "954-678-0078",
            "fax_number": "954-370-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12794 FOREST HILL BLVD STE 18A",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144717",
            "telephone_number": "954-678-0078",
            "fax_number": "954-370-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLINGTON WELLNESS AND MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-13",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "SEIFERT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "954-678-0078"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; 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.