Organization Active NPI

All Well Medical LLC

  • Multi-Specialty Clinic/Center
  • Orlando, FL
National Provider Identifier
1235890856
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ALL WELL MEDICAL LLC
Practice address
4303 Vineland Rd Ste F9
Orlando, FL 32811-7372
Phone
(321) 209-8676
Fax
(512) 532-0923
NPI assigned
Jan 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Authorized official

Name
Tyler Penrod
Title
Biller
Phone
(305) 900-4715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

4303 Vineland Rd Ste F9
Orlando, FL 32811-7372

Mailing address

4303 Vineland Rd Ste F9
Orlando, FL 32811-7372
Phone (321) 209-8676

National Provider Directory

National Provider Directory

Locations

4303 Vineland Rd
Ste F9
Orlando, FL 32811
Phone (321) 209-8676

NPI Registry JSON

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1235890856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4303 VINELAND RD STE F9",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328117372",
            "telephone_number": "321-209-8676",
            "fax_number": "512-532-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4303 VINELAND RD STE F9",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328117372",
            "telephone_number": "321-209-8676",
            "fax_number": "512-532-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL WELL MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "PENROD",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "305-900-4715"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.