Ketamine Wellness Center of Florida

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

KETAMINE WELLNESS CENTER OF FLORIDA

Practice address

110 N Federal Hwy Ste 302
Hallandale Beach, FL 33009-4300

Phone

(818) 814-1323

Fax

(954) 374-8908

NPI assigned

May 18, 2023

Organization subpart

No

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

Authorized official

Name

Rudolf Bell

Title

Member

Phone

(954) 367-6261

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1235820325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N FEDERAL HWY STE 302",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094300",
            "telephone_number": "954-251-2217",
            "fax_number": "954-374-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N FEDERAL HWY STE 302",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094300",
            "telephone_number": "818-814-1323",
            "fax_number": "954-374-8908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KETAMINE WELLNESS CENTER OF FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "RUDOLF",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "954-367-6261"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas B Keller, LMHC
• Michael Kenton
• Brad Alan Kern, DC
• Sean Darl Kerr, OTR/L
• Eliana Kessler, LHAS
• Katherine Ellice Ketterer, PTA
• Nathan Kfir, D.P.M.
• Muhammad Khalid, RPH
• Kids Dental Now
• Devin King

• Psychiatry Physician in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.