Organization Active NPI

Quick Start Weight Loss & Wellness Center, Inc.

  • Internal Medicine Physician
  • Pace, FL
National Provider Identifier
1336811272
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
QUICK START WEIGHT LOSS & WELLNESS CENTER, INC.
Practice address
4577 Watkins St
Pace, FL 32571-2511
Phone
(850) 910-4021
NPI assigned
Sep 29, 2021
Last updated
Sep 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Authorized official

Name
Laura MaupinNPI 1508383407
Title
President
Phone
(850) 910-4021

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary
Family Nurse Practitioner 363LF0000X

Addresses

Primary practice location

4577 Watkins St
Pace, FL 32571-2511

Mailing address

5264 Emerald Dr
Pace, FL 32571-9067
Phone (850) 816-8889

National Provider Directory

National Provider Directory

Locations

4577 Watkins St
Pace, FL 32571
Phone (850) 910-4021

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1336811272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5264 EMERALD DR",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325719067",
            "telephone_number": "850-816-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4577 WATKINS ST",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325712511",
            "telephone_number": "850-910-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUICK START WEIGHT LOSS & WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "MAUPIN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-910-4021"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pace, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.