Palm Wellness Center LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

MM28422 Issued in FL

Legal business name

PALM WELLNESS CENTER LLC

Practice address

1004 W. Linebaugh Ave
Ste #a
Tampa, FL 33612

Phone

(813) 443-5370

Fax

(813) 443-5604

NPI assigned

Oct 25, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Michel Reyes, LMT/CEONPI 1386855278

Title

Ceo

Phone

(813) 443-5370

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michel Reyes, MASSAGE THERAPY

  • Rehabilitation Practitioner
  • Tampa, FL
  • NPI 1386855278

  Single Specialty

  NPD Authorized official
• Arnaldo Orellana Molina, MD

  • General Practice Physician
  • Tampa, FL
  • NPI 1477844652
  Medicare reassignment
• Leivys Cruz Marsall, PA

  • Medical Physician Assistant
  • Tampa, FL
  • NPI 1164242277
  NPD

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

{
    "created_epoch": "1414195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1255736831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 N ARMENIA AVE",
            "address_2": "STE#212",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336041067",
            "telephone_number": "813-443-5370",
            "fax_number": "813-443-5604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 W. LINEBAUGH AVE",
            "address_2": "STE #A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33612",
            "telephone_number": "813-443-5370",
            "fax_number": "813-443-5604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-25",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "MICHEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-443-5370",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT/CEO"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "MM28422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palm Medical Center Lakeland LLC
• Palm Medical Center Lakeland LLC
• Palm Medical Center Lakeland LLC
• Palm Medical Center Lakeland LLC
• Palm Medical Center Lakeland LLC
• Palma Ceia Chiropractic and Wellness Center LLC
• Palma Ceia Family Care, P.L.
• Palma Ceia Health Mart Pharmacy Inc (Palma Ceia Health Mart Pharmacy)
• Isabella Palma
• Bianca Palmar

• Rehabilitation Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.