NPIMap

Organization Active NPI

Wellmax Health Medical Centers, LLC

  • Family Medicine Physician
  • Coconut Creek, FL
National Provider Identifier
1205537602
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WELLMAX HEALTH MEDICAL CENTERS, LLC
Practice address
4925 Coconut Creek Pkwy
Coconut Creek, FL 33063-3909
Phone
(954) 284-1745
Fax
(954) 301-8019
NPI assigned
Mar 13, 2023
Organization subpart
Yes
Parent organization
WELLMAX HEALTH MEDICAL CENTERS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Authorized official

Name
Vanessa Villali
Title
Dir. Practice Managment
Phone
(305) 586-7288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4925 Coconut Creek Pkwy
Coconut Creek, FL 33063-3909

Mailing address

9250 W Flagler St Ste 600
Miami, FL 33174-3460

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@wellmaxmedicalcenters.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Wellmax Health Medical Centers LLC11 organizations share this tax ID, including this one
Part of
Wellmax Health Medical Centers LLC

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1205537602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 W FLAGLER ST STE 600",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331743460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 COCONUT CREEK PKWY",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330633909",
            "telephone_number": "954-284-1745",
            "fax_number": "954-301-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLMAX HEALTH MEDICAL CENTERS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLMAX HEALTH MEDICAL CENTERS, LLC",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-10",
        "status": "A",
        "authorized_official_last_name": "VILLALI",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "DIR. PRACTICE MANAGMENT",
        "authorized_official_telephone_number": "305-586-7288"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@wellmaxmedicalcenters.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4925 Coconut Creek Pkwy",
            "city": "Coconut Creek",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330633909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.