The Premier Wellness Center of Palm Beach LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

THE PREMIER WELLNESS CENTER OF PALM BEACH LLC

Practice address

2100 Lake Ida Rd Ste 1
Delray Beach, FL 33445-2442

Phone

(561) 266-3559

Fax

(561) 266-3257

NPI assigned

Feb 4, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Colleen Stephanie Dor, DCNPI 1225454135

Title

President

Phone

(561) 266-3559

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Colleen Stephanie Dor, D.C.

  • Chiropractor
  • Delray Beach, FL
  • NPI 1225454135
  NPD Authorized official

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1275164675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 LAKE IDA RD STE 1",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334452442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 LAKE IDA RD STE 1",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334452442",
            "telephone_number": "561-266-3559",
            "fax_number": "561-266-3257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PREMIER WELLNESS CENTER OF PALM BEACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-04",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "DOR",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "STEPHANIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-266-3559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.