Florida Elder Care & Wellness LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

FLORIDA ELDER CARE & WELLNESS LLC

Practice address

1200 Pinewood St
Clewiston, FL 33440-5117

Phone

(863) 228-6723

NPI assigned

Aug 4, 2022

Organization subpart

No

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

Authorized official

Name

Susan Conley, NPNPI 1811513864

Title

Provider/Owner

Phone

(863) 228-6723

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Susan Conley, FNP

  • Family Nurse Practitioner
  • Clewiston, FL
  • NPI 1811513864
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1104553643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 PINEWOOD ST",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "334405117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PINEWOOD ST",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "334405117",
            "telephone_number": "863-228-6723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA ELDER CARE & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "CONLEY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "863-228-6723",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Farrell
• First Health Resources Corporation
• Jean Rodriguez Fleurinor, M.D.
• Florida Community Health Centers Inc
• Florida Community Health Centers, Inc.
• Florida Emergency Consultants LLP
• Florida Emergency Consultants LLP
• Florida United Radiology, LC
• Ian S Fried, FNP-BC, INP
• Marice Garcia Valdes

• Nurse Practitioner in Clewiston, FL
• Providers in Clewiston, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.

Verify at the official NPI Registry.