Lauderdale Health and Wellness Inc.

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

License

ME93287 Issued in FL

Legal business name

LAUDERDALE HEALTH AND WELLNESS INC.

Doing business as

BodyLogicMD of Fort Lauderdale

Practice address

6400 N Andrews Ave
Ste 120
Fort Lauderdale, FL 33309-2114

Phone

(954) 688-4072

Fax

(954) 653-7209

NPI assigned

Mar 27, 2009

Last updated

Oct 15, 2014By 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. Jeff Thackrey, M.D.NPI 1306167846

Title

Director

Phone

(954) 688-4072

Specialties & licenses 1

Addresses

Other names 1

• BodyLogicMD of Fort Lauderdale Doing business as

Locations

Practitioners 2

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.

• Jeff Thackrey, M.D.

  • Specialist
  • Fort Lauderdale, FL
  • NPI 1306167846
  NPD (past) Authorized official
• Susan R Compton, MCMSC, PA-C

  • Physician Assistant
  • Miami, FL
  • NPI 1487778338
  NPD (past)

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1255573879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 N ANDREWS AVE",
            "address_2": "STE 120",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333092114",
            "telephone_number": "954-688-4072",
            "fax_number": "954-653-7209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 N ANDREWS AVE",
            "address_2": "STE 120",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333092114",
            "telephone_number": "954-688-4072",
            "fax_number": "954-653-7209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUDERDALE HEALTH AND WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "THACKREY",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-688-4072",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "FL",
            "license": "ME93287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BodyLogicMD of Fort Lauderdale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karina Grace Lauciello, DNP, APRN, CRNA
• Lauderdale Chiromed Centers, Inc (South Florida Spine & Rehab Centers)
• Lauderdale Chiropractic Center Inc
• Lauderdale Dental and Implant Center, PLLC
• Lauderdale Dermatology PA
• Lauderdale Nursing Center LLC (Ft Lauderdale Health and Rehabilitation Center)
• Lauderdale Orthopaedic Surgeons LLP
• Lauderdale Sports Performance Institute, PLLC
• Laura Cohen PA
• Laura Sudarsky MD LLC

• Preventive Medicine/Occupational Environmental Medicine Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.