Active NPI
AMC, LLC D/B/a Brainworx Academy
- PACE Provider Organization
- Jupiter, FL
National Provider Identifier
1144604307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- PACE Provider Organization
- Legal business name
- AMC, LLC D/B/A BRAINWORX ACADEMY
- Practice address
- 641 University Blvd Ste 108
Jupiter, FL 33458-2792 - Phone
- (561) 625-8061
- Fax
- (561) 625-9350
- NPI assigned
- Jul 16, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelli Archer
- Title
- Director
- Phone
- (561) 625-8061
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| PACE Provider Organization | 251T00000X | Primary |
Addresses
Primary practice location
641 University Blvd Ste 108
Jupiter, FL 33458-2792
Mailing address
641 University Blvd Ste 108
Jupiter, FL 33458-2792
Phone (561) 625-8061
National Provider Directory
National Provider DirectoryLocations
641 University Blvd
Ste 108
Jupiter, FL 33458
Phone (561) 625-8061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1437004800000",
"number": "1144604307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "641 UNIVERSITY BLVD STE 108",
"city": "JUPITER",
"state": "FL",
"postal_code": "334582792",
"telephone_number": "561-625-8061",
"fax_number": "561-625-9350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "641 UNIVERSITY BLVD STE 108",
"city": "JUPITER",
"state": "FL",
"postal_code": "334582792",
"telephone_number": "561-625-8061",
"fax_number": "561-625-9350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMC, LLC D/B/A BRAINWORX ACADEMY",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-16",
"last_updated": "2015-07-16",
"status": "A",
"authorized_official_last_name": "ARCHER",
"authorized_official_first_name": "KELLI",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "561-625-8061"
},
"taxonomies": [
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.