NPIMap

Organization Active NPI

Wellmax Health Medical Centers, LLC

  • Family Medicine Physician
  • Hollywood, FL
National Provider Identifier
1316616063
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WELLMAX HEALTH MEDICAL CENTERS, LLC
Practice address
4925 Sheridan St
Hollywood, FL 33021-2834
Phone
(786) 422-6821
NPI assigned
Sep 7, 2021
Organization subpart
Yes
Parent organization
WELLMAX HEALTH MEDICAL CENTERS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Authorized official

Name
Vanessa Villali
Title
Dir Practice MGMT LDR
Phone
(305) 586-7288

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

4925 Sheridan St
Hollywood, FL 33021-2834

Mailing address

9250 W Flagler St Ste 600
Miami, FL 33174-3460

Other practice location 1

4943 Sheridan St
Hollywood, FL 33021-2829
Phone (786) 422-6821

National Provider Directory

National Provider Directory
Tax ID family
Wellmax Health Medical Centers LLC11 organizations share this tax ID, including this one
Part of
Wellmax Health Medical Centers LLC

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4943 Sheridan St
Hollywood, FL 33021
Phone (786) 422-6821

NPI Registry JSON

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1316616063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 W FLAGLER ST STE 600",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331743460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 SHERIDAN ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330212834",
            "telephone_number": "786-422-6821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4943 Sheridan St",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330212829",
            "country_code": "US",
            "telephone_number": "786-422-6821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLMAX HEALTH MEDICAL CENTERS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLMAX HEALTH MEDICAL CENTERS, LLC",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "VILLALI",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "DIR PRACTICE MGMT LDR",
        "authorized_official_telephone_number": "305-586-7288"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.