Organization Active NPI

Introcell LLC

  • Specialist
  • Pensacola, FL
National Provider Identifier
1295758373
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
FIT-001 Issued in FL
Legal business name
INTROCELL LLC
Practice address
2400 W Michigan Ave
Suite 1
Pensacola, FL 32526-2200
Phone
(850) 941-4470
Fax
(850) 941-4471
NPI assigned
Jul 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Jodie Mollohan
Title
Owner/Far-Infrared Therapist
Phone
(850) 941-4470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X FIT-001 FL Primary

Addresses

Primary practice location

2400 W Michigan Ave
Suite 1
Pensacola, FL 32526-2200

Mailing address

2400 W Michigan Ave
Suite 1
Pensacola, FL 32526-2200
Phone (850) 941-4470

Other identifiers 1

IdentifierTypeStateIssuer
FIT-001OtherFLFAR-INFRARED THERAPIST

National Provider Directory

National Provider Directory

Locations

2400 W Michigan Ave
Ste 1
Pensacola, FL 32526
Phone (850) 941-4470

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295758373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 W MICHIGAN AVE",
            "address_2": "SUITE 1",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325262200",
            "telephone_number": "850-941-4470",
            "fax_number": "850-941-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 W MICHIGAN AVE",
            "address_2": "SUITE 1",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325262200",
            "telephone_number": "850-941-4470",
            "fax_number": "850-941-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTROCELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOLLOHAN",
        "authorized_official_first_name": "JODIE",
        "authorized_official_title_or_position": "OWNER/FAR-INFRARED THERAPIST",
        "authorized_official_telephone_number": "850-941-4470",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "FIT-001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAR-INFRARED THERAPIST",
            "identifier": "FIT-001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.