NPIMap

Organization Active NPI

The Wellness Group of Tampa, LLC

  • Multi-Specialty Clinic/Center
  • Tampa, FL
National Provider Identifier
1104291756
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
ME85148 Issued in FL
Legal business name
THE WELLNESS GROUP OF TAMPA, LLC
Practice address
1910 Orient Rd
Tampa, FL 33619-3354
Phone
(813) 701-1234
Fax
(813) 630-4670
NPI assigned
Dec 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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

Authorized official

Name
Mr. Frankie Esteban Valle, LMHC
Title
Managing Partner
Phone
(813) 701-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X ME85148 FL Primary

Addresses

Primary practice location

1910 Orient Rd
Tampa, FL 33619-3354

Mailing address

1910 Orient Rd
Tampa, FL 33619-3354
Phone (813) 701-1234

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1104291756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 ORIENT RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336193354",
            "telephone_number": "813-701-1234",
            "fax_number": "813-630-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 ORIENT RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336193354",
            "telephone_number": "813-701-1234",
            "fax_number": "813-630-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WELLNESS GROUP OF TAMPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-08",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "VALLE",
        "authorized_official_first_name": "FRANKIE",
        "authorized_official_middle_name": "ESTEBAN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "813-701-1234",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "ME85148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.