NPIMap

Organization Active NPI

Florida Wellness Center Inc.

  • Physical Therapy Clinic/Center
  • Tampa, FL
National Provider Identifier
1275943177
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
MM35115 Issued in FL
Legal business name
FLORIDA WELLNESS CENTER INC.
Practice address
4311 W. Waters Ave
Suite 310
Tampa, FL 33614
Phone
(813) 605-0781
Fax
(813) 605-0782
NPI assigned
Apr 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Janis Gomez
Title
Presidant
Phone
(813) 605-0781

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X MM 32182 FL
Physical Therapy Clinic/Center 261QP2000X MM35115 FL Primary

Addresses

Primary practice location

4311 W. Waters Ave
Suite 310
Tampa, FL 33614

Mailing address

4311 W. Waters Ave
Suite 310
Tampa, FL 33614
Phone (813) 605-0781

National Provider Directory

National Provider Directory

Locations

4311 W Waters Ave
Ste 310
Tampa, FL 33614
Phone (813) 605-0781

NPI Registry JSON

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1275943177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 W. WATERS AVE",
            "address_2": "SUITE 310",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33614",
            "telephone_number": "813-605-0781",
            "fax_number": "813-605-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 W. WATERS AVE",
            "address_2": "SUITE 310",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33614",
            "telephone_number": "813-605-0781",
            "fax_number": "813-605-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA WELLNESS CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "JANIS",
        "authorized_official_title_or_position": "PRESIDANT",
        "authorized_official_telephone_number": "813-605-0781"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "MM 32182",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "MM35115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.