Solutions Wellness Center Corp

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

MM27802 Issued in FL

Legal business name

SOLUTIONS WELLNESS CENTER CORP

Practice address

3408 W 84TH St Ste 112
Hialeah Gardens, FL 33018-4941

Phone

(954) 224-3423

Fax

(954) 874-6223

NPI assigned

Sep 26, 2011

Organization subpart

No

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

Authorized official

Name

Humberto M Molgora, LMT

Title

Owner

Phone

(786) 285-8181

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1427331479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 W 84TH ST STE 112",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184941",
            "telephone_number": "954-224-3423",
            "fax_number": "954-874-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 W 84TH ST STE 112",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184941",
            "telephone_number": "954-224-3423",
            "fax_number": "954-874-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLUTIONS WELLNESS CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-26",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "MOLGORA",
        "authorized_official_first_name": "HUMBERTO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-285-8181",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "FL",
            "license": "MM27802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "C101D",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MA1540500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pain Clinic/Center in Hialeah Gardens, FL
• Providers in Hialeah Gardens, FL by specialty
• Pain Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.