Florida Wellness & Regenerative Medicine, LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

FLORIDA WELLNESS & REGENERATIVE MEDICINE, LLC

Practice address

7345 W Sand Lake Rd Ste 301
Orlando, FL 32819-5281

Phone

(321) 204-8237

Fax

(833) 957-2257

NPI assigned

Nov 16, 2021

Last updated

Mar 30, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Diana Hussain, MDNPI 1285776971

Title

President/Owner

Phone

(321) 204-8237

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25281/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Diana A Hussain, MD

  • Physical Medicine & Rehabilitation Physician
  • Orlando, FL
  • NPI 1285776971
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1174289946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7345 W SAND LAKE RD STE 301",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195281",
            "telephone_number": "321-204-8237",
            "fax_number": "833-957-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7345 W SAND LAKE RD STE 301",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195281",
            "telephone_number": "321-204-8237",
            "fax_number": "833-957-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA WELLNESS & REGENERATIVE MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-16",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "321-204-8237",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida Virtual School
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• Physical Medicine & Rehabilitation Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.