NPIMap

Organization Active NPI

Florence Wellness PLLC

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1427670751
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FLORENCE WELLNESS PLLC
Practice address
101 E Washington St FL 7
Phoenix, AZ 85004-2450
Phone
(202) 893-7910
Fax
(202) 893-8809
NPI assigned
May 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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

Authorized official

Name
Jacob Halpert
Title
Secretary
Phone
(607) 738-6356

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

101 E Washington St FL 7
Phoenix, AZ 85004-2450

Mailing address

1802 Foundation LN Ste 225
Chico, CA 95928-9217
Phone (202) 893-7910

National Provider Directory

National Provider Directory

Locations

1465 E Northern Ave
Kingman, AZ 86409
Phone (928) 757-5522

1847 W Heatherbrae Dr
Ste A
Phoenix, AZ 85015
Phone (602) 263-0663

101 E Washington St
Fl 7
Phoenix, AZ 85004

4996 E Mediterranean Dr
Sierra Vista, AZ 85635

2585 E Wilcox Dr
Ste A
Sierra Vista, AZ 85635
Phone (520) 255-5475

1210 W 24th St
Yuma, AZ 85364

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594339200000",
    "number": "1427670751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 FOUNDATION LN STE 225",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959289217",
            "telephone_number": "202-893-7910",
            "fax_number": "202-893-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E WASHINGTON ST FL 7",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850042450",
            "telephone_number": "202-893-7910",
            "fax_number": "202-893-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORENCE WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-08",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A",
        "authorized_official_last_name": "HALPERT",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "607-738-6356"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.