Organization Active NPI

Max Paul Wellness LLC

  • Health Service Clinic/Center
  • Boynton Beach, FL
National Provider Identifier
1104697069
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
MAX PAUL WELLNESS LLC
Practice address
2600 Quantum Blvd Ste 2B
Boynton Beach, FL 33426-8627
Phone
(610) 955-5784
NPI assigned
Jan 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Authorized official

Name
Max PaulNPI 1093567356
Title
Owner
Phone
(610) 955-5784

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

2600 Quantum Blvd Ste 2B
Boynton Beach, FL 33426-8627

Mailing address

463 Box Elder LN
Lafayette Hill, PA 19444-2618
Phone (610) 955-5784

National Provider Directory

National Provider Directory

Locations

2600 Quantum Blvd
Ste 2B
Boynton Beach, FL 33426
Phone (610) 955-5784

Practitioners & affiliated clinicians

Practitioners 1

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": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1104697069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 BOX ELDER LN",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "194442618",
            "telephone_number": "610-955-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 QUANTUM BLVD STE 2B",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268627",
            "telephone_number": "610-955-5784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX PAUL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-955-5784"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.