Organization Active NPI

Holistic Health & Medical, Inc.

  • Clinic/Center
  • Miami Lakes, FL
National Provider Identifier
1376118299
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HOLISTIC HEALTH & MEDICAL, INC.
Practice address
14750 NW 77TH CT Ste 114
Miami Lakes, FL 33016-1507
Phone
(786) 536-8411
NPI assigned
May 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Authorized official

Name
Orlando Vijay Walter, DPT
Title
DPT
Phone
(786) 536-8411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

14750 NW 77TH CT Ste 114
Miami Lakes, FL 33016-1507

Mailing address

14750 NW 77TH CT Ste 114
Miami Lakes, FL 33016-1507
Phone (786) 536-8411

National Provider Directory

National Provider Directory

Locations

14750 NW 77th Ct
Ste 114
Miami Lakes, FL 33016
Phone (786) 536-8411

NPI Registry JSON

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1376118299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14750 NW 77TH CT STE 114",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161507",
            "telephone_number": "786-536-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14750 NW 77TH CT STE 114",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161507",
            "telephone_number": "786-536-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC HEALTH & MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-24",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "WALTER",
        "authorized_official_first_name": "ORLANDO VIJAY",
        "authorized_official_title_or_position": "DPT",
        "authorized_official_telephone_number": "786-536-8411",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.