Florida Health & Wellness Center, Inc

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

ME74889 Issued in TN

Legal business name

FLORIDA HEALTH & WELLNESS CENTER, INC

Practice address

15200 Jog Rd Ste a-3
Delray Beach, FL 33446-1247

Phone

(561) 498-7998

Fax

(561) 498-7993

NPI assigned

Oct 13, 2009

Last updated

Oct 13, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bruce S Green

Title

President

Phone

(561) 498-7998

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1376878132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15200 JOG RD STE A-3",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334461247",
            "telephone_number": "561-498-7998",
            "fax_number": "561-498-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 JOG RD STE A-3",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334461247",
            "telephone_number": "561-498-7998",
            "fax_number": "561-498-7993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA HEALTH & WELLNESS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-498-7998"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "ZZ",
            "license": "ME37959",
            "primary": false
        },
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "TN",
            "license": "ME74889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Legal Medicine in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Legal Medicine in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; 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.