Organization Active NPI

Remedy Health and Wellness, LLC

  • Public Health & General Preventive Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1114681665
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
Legal business name
REMEDY HEALTH AND WELLNESS, LLC
Practice address
1515 SE 17TH St Ste 119
Fort Lauderdale, FL 33316-1736
Phone
(954) 369-5880
NPI assigned
Oct 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Authorized official

Name
Dr. Jarrod Wilson, MDNPI 1356747695
Title
MD
Phone
(954) 369-5880

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
Public Health & General Preventive Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0901X Primary

Addresses

Primary practice location

1515 SE 17TH St Ste 119
Fort Lauderdale, FL 33316-1736

Mailing address

1515 SE 17TH St Ste 119
Fort Lauderdale, FL 33316-1736
Phone (954) 369-5880

Other names 1

  • The Remedy IV Health and Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

1515 SE 17th St
Ste 119
Fort Lauderdale, FL 33316
Phone (954) 369-5880

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": "1635465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1114681665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 SE 17TH ST STE 119",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161736",
            "telephone_number": "954-369-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 SE 17TH ST STE 119",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161736",
            "telephone_number": "954-369-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMEDY HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JARROD",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "954-369-5880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Remedy IV Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 29, 2021; 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.