NPIMap

Organization Active NPI

Florida Shores Wellness Center, LLC

  • Community/Behavioral Health Agency
  • Pompano Beach, FL
National Provider Identifier
1396532560
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FLORIDA SHORES WELLNESS CENTER, LLC
Doing business as
Florida Shores Wellness Center, LLC
Practice address
2100 Park Central Blvd N Ste B
Pompano Beach, FL 33064-2239
Phone
(561) 715-0548
Fax
(520) 783-2467
NPI assigned
Apr 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Authorized official

Name
Ms. Linda K Potere
Title
Adminstrator
Phone
(954) 695-6847

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

2100 Park Central Blvd N Ste B
Pompano Beach, FL 33064-2239

Mailing address

2100 Park Central Blvd N Ste B
Pompano Beach, FL 33064-2239
Phone (561) 715-0548

Other names 1

  • Florida Shores Wellness Center, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

2100 Park Central Blvd N
Ste B
Pompano Beach, FL 33064
Phone (561) 715-0548

NPI Registry JSON

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

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1396532560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 PARK CENTRAL BLVD N STE B",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330642239",
            "telephone_number": "561-715-0548",
            "fax_number": "520-783-2467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 PARK CENTRAL BLVD N STE B",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330642239",
            "telephone_number": "561-715-0548",
            "fax_number": "520-783-2467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA SHORES WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "POTERE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "954-695-6847",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Shores Wellness Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Florida Shores Wellness Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.