Organization Active NPI

Premier Wellness Centers

  • Chiropractor
  • Port Saint Lucie, FL
National Provider Identifier
1194077347
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10181 Issued in ZZ
Legal business name
PREMIER WELLNESS CENTERS
Practice address
7043 S US Highway 1
Port Saint Lucie, FL 34952-1401
Phone
(772) 344-1222
Fax
(772) 344-1220
NPI assigned
Oct 12, 2012
Organization subpart
Yes
Parent organization
PREMIER WELLNESS CENTERS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Authorized official

Name
Mr. Jon Paul Fritz, DC
Title
Owner
Phone
(772) 344-1222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH10181 ZZ Primary

Addresses

Primary practice location

7043 S US Highway 1
Port Saint Lucie, FL 34952-1401

Mailing address

7043 S US Highway 1
Port Saint Lucie, FL 34952-1401
Phone (772) 344-1222

Other names 1

  • Premier Wellness Centers LLC Doing business as

National Provider Directory

National Provider Directory
Part of
Premier Wellness Centers LLC

Locations

7043 S US Highway 1
Port St Lucie, FL 34952
Phone (727) 309-1412

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1194077347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7043 S US HIGHWAY 1",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349521401",
            "telephone_number": "772-344-1222",
            "fax_number": "772-344-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7043 S US HIGHWAY 1",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349521401",
            "telephone_number": "772-344-1222",
            "fax_number": "772-344-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER WELLNESS CENTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER WELLNESS CENTERS LLC",
        "enumeration_date": "2012-10-12",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "FRITZ",
        "authorized_official_first_name": "JON PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-344-1222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ZZ",
            "license": "CH10181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Wellness Centers LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.