Integrated Family Wellness, Inc.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

CH10364 Issued in FL

Legal business name

INTEGRATED FAMILY WELLNESS, INC.

Practice address

2525 Embassy Dr
Suite 7
Hollywood, FL 33026-4573

Phone

(954) 431-6884

Fax

(954) 436-6936

NPI assigned

Dec 10, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Ancona, D.C.

Title

Owner

Phone

(561) 306-4284

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1144565623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 EMBASSY DR",
            "address_2": "SUITE 7",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330264573",
            "telephone_number": "954-431-6884",
            "fax_number": "954-436-6936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 EMBASSY DR",
            "address_2": "SUITE 7",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330264573",
            "telephone_number": "954-431-6884",
            "fax_number": "954-436-6936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED FAMILY WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-10",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "ANCONA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-306-4284",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "CH10364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; 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.