Inner Wellness Centers of Florida, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

INNER WELLNESS CENTERS OF FLORIDA, LLC

Practice address

6837 S Federal Hwy
Port Saint Lucie, FL 34952-1443

Phone

(772) 577-6640

Fax

(772) 494-7268

NPI assigned

Feb 4, 2013

Last updated

Feb 20, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Susan Parker Sanders, DCNPI 1689727620

Title

Ceo

Phone

(772) 577-6640

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Parker Sanders, D.C.

  • Rehabilitation Chiropractor
  • Fort Pierce, FL
  • NPI 1689727620
  NPD (past) Authorized official

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392854400000",
    "number": "1447599907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 SW NEWPORT ISLES BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349534577",
            "telephone_number": "772-577-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6837 S FEDERAL HWY",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349521443",
            "telephone_number": "772-577-6640",
            "fax_number": "772-494-7268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER WELLNESS CENTERS OF FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-04",
        "last_updated": "2014-02-20",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "PARKER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-577-6640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9771",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; 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.