Complete Health and Wellness Clinic, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COMPLETE HEALTH AND WELLNESS CLINIC, LLC

Practice address

2601 Wells Ave Ste 141
Fern Park, FL 32730-2000

Phone

(407) 335-4050

NPI assigned

Aug 28, 2024

Organization subpart

No

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

Authorized official

Name

Marie Samantha Florestal, FNPNPI 1316409642

Title

Nurse Practitioner

Phone

(407) 335-4050

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Marie Samantha Florestal, NP

  • Family Nurse Practitioner
  • Fern Park, FL
  • NPI 1316409642
  NPD Authorized official

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1124852546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 WELLS AVE STE 141",
            "city": "FERN PARK",
            "state": "FL",
            "postal_code": "327302000",
            "telephone_number": "407-335-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 WELLS AVE STE 141",
            "city": "FERN PARK",
            "state": "FL",
            "postal_code": "327302000",
            "telephone_number": "407-335-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE HEALTH AND WELLNESS CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "FLORESTAL",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "SAMANTHA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "407-335-4050",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Harrod Cain
• Enrique Jesus Cano
• Santi Rekha Chellu, FNP
• Ann M Clements, PA
• Jose L Colmenero, MS
• Cynthiadanielsheavenlyangelshelpinghandsllc
• Christian Danforth
• Cynthia Daniels
• Alejandro Diaz de Villegas
• Dr Phillips Medical Wellness Center LLC

• All providers in Fern Park, FL
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.