Organization Active NPI

Hormone Health and Wellness

  • Health Service Clinic/Center
  • Lake City, FL
National Provider Identifier
1144690868
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
ME106629 Issued in FL
Legal business name
HORMONE HEALTH AND WELLNESS
Practice address
444 SW Alachua Ave
Lake City, FL 32025-5213
Phone
(386) 719-5656
Fax
(386) 719-5654
NPI assigned
Oct 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Authorized official

Name
Mr. Sean P Moore, RN AIS BC
Title
Owner
Phone
(386) 719-5656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X ME106629 FL Primary

Addresses

Primary practice location

444 SW Alachua Ave
Lake City, FL 32025-5213

Mailing address

444 SW Alachua Ave
Lake City, FL 32025-5213
Phone (386) 719-5656

National Provider Directory

National Provider Directory

Locations

444 SW Alachua Ave
Lake City, FL 32025
Phone (386) 719-5655

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1144690868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 SW ALACHUA AVE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320255213",
            "telephone_number": "386-719-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 SW ALACHUA AVE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320255213",
            "telephone_number": "386-719-5656",
            "fax_number": "386-719-5654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORMONE HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-719-5656",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN AIS BC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "ME106629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.

Verify at the official NPI Registry.