Organization Active NPI

Wellness Essentials LLC

  • Internal Medicine Physician
  • Orange City, FL
National Provider Identifier
1407415946
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WELLNESS ESSENTIALS LLC
Practice address
2290 S Volusia Ave Ste C
Orange City, FL 32763-7600
Phone
(386) 960-0438
Fax
(386) 960-0450
NPI assigned
Jun 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Authorized official

Name
Cesar Edward Luna
Title
Owner
Phone
(386) 960-0438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2290 S Volusia Ave Ste C
Orange City, FL 32763-7600

Mailing address

2290 S Volusia Ave Ste C
Orange City, FL 32763-7600
Phone (386) 960-0438

National Provider Directory

National Provider Directory

Locations

2290 S Volusia Ave
Ste C
Orange City, FL 32763
Phone (386) 960-0438

NPI Registry JSON

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

{
    "created_epoch": "1560038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1407415946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2290 S VOLUSIA AVE STE C",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637600",
            "telephone_number": "386-960-0438",
            "fax_number": "386-960-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 S VOLUSIA AVE STE C",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637600",
            "telephone_number": "386-960-0438",
            "fax_number": "386-960-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS ESSENTIALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-09",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "LUNA",
        "authorized_official_first_name": "CESAR",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-960-0438"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.