Ideal Health and Wellness Center LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

IDEAL HEALTH AND WELLNESS CENTER LLC

Practice address

8001 N Dale Mabry Hwy BLDG 301
Tampa, FL 33614-3290

Phone

(813) 933-1511

NPI assigned

May 26, 2016

Last updated

May 26, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Donna M Maddox, DCNPI 1497826788

Title

Owner

Phone

(813) 933-1511

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donna Maddox

  • Chiropractor
  • Tampa, FL
  • NPI 1497826788
  NPD (past) Authorized official

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1235587676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 N DALE MABRY HWY BLDG 301",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143290",
            "telephone_number": "813-933-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 N DALE MABRY HWY BLDG 301",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143290",
            "telephone_number": "813-933-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL HEALTH AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "MADDOX",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-933-1511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ideal Dentistry
• Ideal Image
• Ideal Medical Center of Tampa Inc
• Ideal Modern Dentistry
• Idel Pharmacy, Inc (Idel Pharmacy LTC)
• Idel Pharmacy, Inc

• General Practice Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.