Organization Active NPI

Essential Wellness for Life, LLC

  • Primary Care Clinic/Center
  • Palm Harbor, FL
National Provider Identifier
1285867408
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME82894 Issued in FL
Legal business name
ESSENTIAL WELLNESS FOR LIFE, LLC
Practice address
34754 US Highway 19 N
Palm Harbor, FL 34684-2120
Phone
(727) 507-7100
Fax
(727) 507-7137
NPI assigned
Sep 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Authorized official

Name
Dr. Christina Alice Franco, M.D.
Title
Manager
Phone
(727) 507-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME82894 FL Primary

Addresses

Primary practice location

34754 US Highway 19 N
Palm Harbor, FL 34684-2120

Mailing address

34754 US Highway 19 N
Palm Harbor, FL 34684-2120
Phone (727) 507-7100

Other names 1

  • Essential Wellness Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

34754 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 233-7424

NPI Registry JSON

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1285867408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34754 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346842120",
            "telephone_number": "727-507-7100",
            "fax_number": "727-507-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34754 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346842120",
            "telephone_number": "727-507-7100",
            "fax_number": "727-507-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL WELLNESS FOR LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-03",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "FRANCO",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "ALICE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "727-507-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME82894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Essential Wellness Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.