Organization Active NPI

Choice Wellness, LLC

  • Specialist
  • Clearwater, FL
National Provider Identifier
1215201157
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME83513 Issued in FL
Legal business name
CHOICE WELLNESS, LLC
Practice address
26212 US Highway 19 N
Clearwater, FL 33761-3580
Phone
(727) 230-1438
Fax
(727) 230-1437
NPI assigned
Feb 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Authorized official

Name
Dr. Brent J Agin, M.D.
Title
Owner
Phone
(727) 230-1438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME83513 FL Primary

Addresses

Primary practice location

26212 US Highway 19 N
Clearwater, FL 33761-3580

Mailing address

26212 US Highway 19 N
Clearwater, FL 33761-3580
Phone (727) 230-1438

National Provider Directory

National Provider Directory

Locations

26212 US Highway 19 N
Clearwater, FL 33761
Phone (727) 230-1438

Practitioners & affiliated clinicians

Practitioners 2

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": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1215201157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26212 US HIGHWAY 19 N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337613580",
            "telephone_number": "727-230-1438",
            "fax_number": "727-230-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26212 US HIGHWAY 19 N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337613580",
            "telephone_number": "727-230-1438",
            "fax_number": "727-230-1437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-23",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "AGIN",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-230-1438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME83513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.