NPIMap

Organization Active NPI

Wellness Center 'Limited Liability Company'

  • Case Manager/Care Coordinator
  • Fort Lauderdale, FL
National Provider Identifier
1114104031
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
AP1364 Issued in FL
Legal business name
WELLNESS CENTER 'LIMITED LIABILITY COMPANY'
Practice address
3315 NE 16TH St
Fort Lauderdale, FL 33304-1711
Phone
(954) 675-5189
Fax
(954) 565-6463
NPI assigned
Jan 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Authorized official

Name
Mr. Howard I Moskow, A.P., P.T.NPI 1831375005
Title
Manager
Phone
(954) 675-5189

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
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X AP1364 FL Primary

Addresses

Primary practice location

3315 NE 16TH St
Fort Lauderdale, FL 33304-1711

Mailing address

3315 NE 16TH St
Fort Lauderdale, FL 33304-1711
Phone (954) 675-5189

National Provider Directory

National Provider Directory
Tax ID family
Wellness Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1114104031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 NE 16TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333041711",
            "telephone_number": "954-675-5189",
            "fax_number": "954-565-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 NE 16TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333041711",
            "telephone_number": "954-675-5189",
            "fax_number": "954-565-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CENTER 'LIMITED LIABILITY COMPANY'",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "MOSKOW",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-675-5189",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "A.P., P.T."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "AP1364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.