Floridian Wellness LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

FLORIDIAN WELLNESS LLC

Practice address

4400 W Sample Rd Ste 240
Coconut Creek, FL 33073-3473

Phone

(954) 591-7757

NPI assigned

Feb 25, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Fred Patirick Della Jacono, DC, AP, LMTNPI 1154891026

Title

Owner

Phone

(954) 591-7757

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Floridian Wellness LLC2 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.

• Floridian Wellness LLC

  • Acupuncturist
  • Coconut Creek, FL
  • NPI 1912856196
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Floridian Wellness LLC

  • Acupuncturist
  • Coconut Creek, FL
  • NPI 1912856196
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fred Patrick Della Jacono, AP,LMT

  • Acupuncturist
  • Coconut Creek, FL
  • NPI 1154891026

  Chiropractor

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1114723541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 W SAMPLE RD STE 240",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733473",
            "telephone_number": "754-326-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 W SAMPLE RD STE 240",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733473",
            "telephone_number": "954-591-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDIAN WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-25",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A",
        "authorized_official_last_name": "DELLA JACONO",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "PATIRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-591-7757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, AP, LMT"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Allison M Ford

• Chiropractor in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.