Organization Active NPI

Wellness Center of NMB

  • General Practice Physician
  • Hallandale Beach, FL
National Provider Identifier
1174710289
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
OS0001920 Issued in FL
Legal business name
WELLNESS CENTER OF NMB
Practice address
1920 E Hallandale Beach Blvd Ste 508
Hallandale Beach, FL 33009-4723
Phone
(305) 244-7993
Fax
(305) 993-4832
NPI assigned
Oct 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Authorized official

Name
Raymond V Failer, MD
Title
President
Phone
(786) 274-1990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X OS0001920 FL Primary

Addresses

Primary practice location

1920 E Hallandale Beach Blvd Ste 508
Hallandale Beach, FL 33009-4723

Mailing address

1920 E Hallandale Beach Blvd Ste 508
Hallandale Beach, FL 33009-4723
Phone (305) 244-7993

National Provider Directory

National Provider Directory

Locations

113 Bond St
Clewiston, FL 33440
Phone (863) 805-0322

1920 E Hallandale Beach Blvd
Ste 508
Hallandale Beach, FL 33009
Phone (305) 244-7993

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547510400000",
    "number": "1174710289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 E HALLANDALE BEACH BLVD STE 508",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094723",
            "telephone_number": "305-244-7993",
            "fax_number": "305-993-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 E HALLANDALE BEACH BLVD STE 508",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094723",
            "telephone_number": "305-244-7993",
            "fax_number": "305-993-4832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CENTER OF NMB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2019-01-15",
        "status": "A",
        "authorized_official_last_name": "FAILER",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-274-1990",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS0001920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.