Wellness and Hormone Centers of America Palm Beach County I, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME54115 Issued in FL

Legal business name

WELLNESS AND HORMONE CENTERS OF AMERICA PALM BEACH COUNTY I, LLC

Practice address

5030 Champion Blvd
Suites C2/C3
Boca Raton, FL 33496-2473

Phone

(855) 336-1296

NPI assigned

Apr 15, 2014

Organization subpart

No

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

Authorized official

Name

Gail Wiley

Title

Manager of Operations

Phone

(715) 820-0543

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1114346574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 CHAMPION BLVD",
            "address_2": "SUITES C2/C3",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962473",
            "telephone_number": "855-336-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 CHAMPION BLVD",
            "address_2": "SUITES C2/C3",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962473",
            "telephone_number": "855-336-1296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS AND HORMONE CENTERS OF AMERICA PALM BEACH COUNTY I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "MANAGER OF OPERATIONS",
        "authorized_official_telephone_number": "715-820-0543"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "ME47330",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME54115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.