Fanna Wellness LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

FANNA WELLNESS LLC

Practice address

4445 E Bay Dr Ste 302
Clearwater, FL 33764-6865

Phone

(727) 657-9619

NPI assigned

Aug 26, 2020

Organization subpart

No

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

Authorized official

Name

Fan Yang, D.C.

Title

Chiropractor

Phone

(727) 657-9619

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1467065771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 E BAY DR STE 302",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337646865",
            "telephone_number": "727-657-9619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 E BAY DR STE 302",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337646865",
            "telephone_number": "727-657-9619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANNA WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "FAN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "727-657-9619",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.