Target Wellness LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

ARNP 2166292 Issued in FL

Legal business name

TARGET WELLNESS LLC

Practice address

713 Park Valley Cir
Minneola, FL 34715-7952

Phone

(407) 473-7545

Fax

(352) 536-2087

NPI assigned

Oct 9, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Michele R Ellert, ARNP

Title

Owner

Phone

(407) 473-7545

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1114321833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 PARK VALLEY CIR",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347157952",
            "telephone_number": "407-473-7545",
            "fax_number": "352-536-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 PARK VALLEY CIR",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347157952",
            "telephone_number": "407-473-7545",
            "fax_number": "352-536-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARGET WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "ELLERT",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-473-7545",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "ARNP 2166292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Minneola, FL
• Providers in Minneola, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; 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.