Affinity Healthcare Solutions, LLC.

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

AFFINITY HEALTHCARE SOLUTIONS, LLC.

Practice address

600 1St Ave N
Suite:303
St Petersburg, FL 33701-3609

Phone

(850) 251-5688

NPI assigned

Feb 27, 2017

Last updated

Feb 27, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Wyatt Irvin Hendricks

Title

Ceo

Phone

(850) 251-5688

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1114467933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 1ST AVE N",
            "address_2": "SUITE:303",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013609",
            "telephone_number": "850-251-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 1ST AVE N",
            "address_2": "SUITE:303",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013609",
            "telephone_number": "850-251-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY HEALTHCARE SOLUTIONS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "WYATT",
        "authorized_official_middle_name": "IRVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-251-5688",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Contractor in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.