Organization Active NPI

St Mary'S Chiro Med & Wellness Center LLC

  • Multi-Specialty Clinic/Center
  • Boynton Beach, FL
National Provider Identifier
1457929200
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ST MARY'S CHIRO MED & WELLNESS CENTER LLC
Practice address
3301 W Boynton Beach Blvd Ste 12
Boynton Beach, FL 33436-4642
Phone
(561) 810-6270
NPI assigned
Jun 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Authorized official

Name
Mrs. Marie Florence Luccin
Title
Manager
Phone
(561) 574-5774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

3301 W Boynton Beach Blvd Ste 12
Boynton Beach, FL 33436-4642

Mailing address

3301 W Boynton Beach Blvd Ste 12
Boynton Beach, FL 33436-4642
Phone (561) 810-6270

National Provider Directory

National Provider Directory

Locations

3301 W Boynton Beach Blvd
Ste 12
Boynton Beach, FL 33436
Phone (561) 737-8434

NPI Registry JSON

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1457929200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 W BOYNTON BEACH BLVD STE 12",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364642",
            "telephone_number": "561-810-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 W BOYNTON BEACH BLVD STE 12",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364642",
            "telephone_number": "561-810-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARY'S CHIRO MED & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "LUCCIN",
        "authorized_official_first_name": "MARIE FLORENCE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-574-5774",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.