Health & Wellness Institute of South Florida Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

ME106253 Issued in FL

Legal business name

HEALTH & WELLNESS INSTITUTE OF SOUTH FLORIDA INC

Practice address

301 S Gloria St
Clewiston, FL 33440-3520

Phone

(863) 983-5123

NPI assigned

May 27, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Jhawed Khayoumi, M.D.

Title

Owner/Manager

Phone

(561) 596-6218

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306454400000",
    "number": "1376836049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 N FLAGLER DR",
            "address_2": "#612",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013438",
            "telephone_number": "561-596-6218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S GLORIA ST",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "334403520",
            "telephone_number": "863-983-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH & WELLNESS INSTITUTE OF SOUTH FLORIDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-27",
        "last_updated": "2011-05-27",
        "status": "A",
        "authorized_official_last_name": "KHAYOUMI",
        "authorized_official_first_name": "JHAWED",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "561-596-6218",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "ME106253",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "ME106253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.