Premier Wellness Centers East LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH10983 Issued in FL

Legal business name

PREMIER WELLNESS CENTERS EAST LLC

Practice address

7043 S US Highway 1
Suite 100
Port St Lucie, FL 34952-1401

Phone

(772) 879-8100

Fax

(772) 879-8101

NPI assigned

Jun 5, 2014

Organization subpart

No

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

Authorized official

Name

Christopher M Horne, DC

Title

Chiropractor

Phone

(772) 879-8100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1225441447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7043 S US HIGHWAY 1 STE 100",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349521401",
            "telephone_number": "772-879-8100",
            "fax_number": "772-879-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7043 S US HIGHWAY 1",
            "address_2": "SUITE 100",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349521401",
            "telephone_number": "772-879-8100",
            "fax_number": "772-879-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER WELLNESS CENTERS EAST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "HORNE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "772-879-8100",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1790119816",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Premier Wellness Centers LLC
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• Premise Health of Florida Medical PA
• Premium Primary Care & Walk-in Clinic Inc
• Susan M Prendergast, ARNP

• Chiropractor in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.