NPIMap

Organization Active NPI

Maxlife Health and Wellness Center

  • Chiropractor
  • Oviedo, FL
National Provider Identifier
1326069485
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 9026 Issued in FL
Legal business name
MAXLIFE HEALTH AND WELLNESS CENTER
Practice address
425 Alexandria Blvd
Suite 1010
Oviedo, FL 32765-5548
Phone
(407) 977-3434
Fax
(407) 977-3433
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Authorized official

Name
Marc G OttNPI 1437191020
Title
Ceo/Owner
Phone
(407) 977-3434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CH 9026 FL Primary

Addresses

Primary practice location

425 Alexandria Blvd
Suite 1010
Oviedo, FL 32765-5548

Mailing address

425 Alexandria Blvd
Suite 1010
Oviedo, FL 32765-5548
Phone (407) 977-3434

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1326069485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 ALEXANDRIA BLVD",
            "address_2": "SUITE 1010",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327655548",
            "telephone_number": "407-977-3434",
            "fax_number": "407-977-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 ALEXANDRIA BLVD",
            "address_2": "SUITE 1010",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327655548",
            "telephone_number": "407-977-3434",
            "fax_number": "407-977-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXLIFE HEALTH AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "OTT",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "407-977-3434"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 9026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.