Active NPI
Quick Start Weight Loss & Wellness Center, Inc.
- Internal Medicine Physician
- Pace, FL
National Provider Identifier
1336811272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Maupin
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.