Chinyere Center for Wellness, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CHINYERE CENTER FOR WELLNESS, LLC

Practice address

131 E 19TH Ave
Mount Dora, FL 32757-2803

Phone

(352) 735-3396

NPI assigned

Oct 11, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Carmelita Eburuche, M.D.

Title

Owner

Phone

(352) 735-3396

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1381449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381449600000",
    "number": "1215364013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 CYPRESS GROVE DR",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327362506",
            "telephone_number": "352-461-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 E 19TH AVE",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572803",
            "telephone_number": "352-735-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINYERE CENTER FOR WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-11",
        "last_updated": "2013-10-11",
        "status": "A",
        "authorized_official_last_name": "EBURUCHE",
        "authorized_official_first_name": "CARMELITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-735-3396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; 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.