The 5 Elements Spa & Longevity Center

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

MM35287 Issued in FL

Legal business name

THE 5 ELEMENTS SPA & LONGEVITY CENTER

Practice address

2288 Wilton Drive
Wilton Manors, FL 33305

Phone

(954) 533-2604

NPI assigned

Sep 21, 2016

Organization subpart

No

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

Authorized official

Name

Catalina Restrepo

Title

Owner

Phone

(305) 607-2335

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474416000000",
    "number": "1306394168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2288 WILTON DRIVE",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "33305",
            "telephone_number": "954-533-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2288 WILTON DRIVE",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "33305",
            "telephone_number": "954-533-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE 5 ELEMENTS SPA & LONGEVITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-09-21",
        "status": "A",
        "authorized_official_last_name": "RESTREPO",
        "authorized_official_first_name": "CATALINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-607-2335"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "MM35287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Wilton Manors, FL
• Providers in Wilton Manors, FL by specialty
• Health Maintenance Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.