Organization Active NPI

Fine Wellness , LLC

  • Chiropractor
  • Altamonte Springs, FL
National Provider Identifier
1447398938
Registry record updated Feb 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0004725 Issued in FL
Legal business name
FINE WELLNESS , LLC
Practice address
675 Douglas Avenue
Altamonte Springs, FL 32714-2555
Phone
(407) 261-5570
Fax
(407) 897-6268
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2009

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

Authorized official

Name
Dr. Mitchel Lawrence Fine, D.C.
Title
President
Phone
(407) 261-5510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH0004725 FL Primary

Addresses

Primary practice location

675 Douglas Avenue
Altamonte Springs, FL 32714-2555

Mailing address

675 Douglas Avenue
Altamonte Springs, FL 32714-2555
Phone (407) 261-5570

Other names 1

  • Fine Wellness and Injury Center Former legal business name

National Provider Directory

National Provider Directory

Locations

675 Douglas Ave
Altamonte Springs, FL 32714
Phone (407) 261-5570

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234224000000",
    "number": "1447398938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 DOUGLAS AVENUE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142555",
            "telephone_number": "407-261-5570",
            "fax_number": "407-897-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 DOUGLAS AVENUE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142555",
            "telephone_number": "407-261-5570",
            "fax_number": "407-897-6268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FINE WELLNESS , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2009-02-10",
        "status": "A",
        "authorized_official_last_name": "FINE",
        "authorized_official_first_name": "MITCHEL",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-261-5510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0004725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fine Wellness and Injury Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Altamonte Springs, FL

Sources for this page

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