Organization Active NPI

Health Solutions Wellness Center LLC

  • Chiropractor
  • Plant City, FL
National Provider Identifier
1205937364
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH-8722 Issued in FL
Legal business name
HEALTH SOLUTIONS WELLNESS CENTER LLC
Practice address
1514 S Alexander St
Suite 106
Plant City, FL 33563-8414
Phone
(813) 717-7553
Fax
(813) 717-7593
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Dr. John Bradley Souther, DCNPI 1588621684
Title
Owner
Phone
(813) 717-7553

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH-8722 FL Primary

Addresses

Primary practice location

1514 S Alexander St
Suite 106
Plant City, FL 33563-8414

Mailing address

1514 S Alexander St
Suite 106
Plant City, FL 33563-8414
Phone (813) 717-7553

Other identifiers 2

IdentifierTypeStateIssuer
37211OtherFLBCBS
695129OtherFLUNITED HEALTH CARE ACN

Other names 1

  • Health Solutions Chiropractic Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110805000260 FL Part B Supplier - Clinic/Group Practice 3072782143 Receives reassigned benefits from 1 practitioner
Practice locations: Plant City, FL

National Provider Directory

National Provider Directory

Locations

1514 S Alexander St
Ste 106
Plant City, FL 33563
Phone (813) 717-7553

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1205937364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 S ALEXANDER ST",
            "address_2": "SUITE 106",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335638414",
            "telephone_number": "813-717-7553",
            "fax_number": "813-717-7593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 S ALEXANDER ST",
            "address_2": "SUITE 106",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335638414",
            "telephone_number": "813-717-7553",
            "fax_number": "813-717-7593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SOLUTIONS WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "SOUTHER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-717-7553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH-8722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "37211",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE ACN",
            "identifier": "695129",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Solutions Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Plant City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.