NPIMap

Organization Active NPI

USA Wellness Providers Corp

  • Specialist
  • Fort Lauderdale, FL
National Provider Identifier
1477997013
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
USA WELLNESS PROVIDERS CORP
Practice address
1050 Lee Wagener Blvd
230
Fort Lauderdale, FL 33315-3500
Phone
(678) 683-2223
NPI assigned
Apr 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Authorized official

Name
Angelo Correa
Title
President/Ceo
Phone
(678) 683-2223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1050 Lee Wagener Blvd
230
Fort Lauderdale, FL 33315-3500

Mailing address

1050 Lee Wagener Blvd
230
Fort Lauderdale, FL 33315-3500
Phone (678) 683-2223

Other identifiers 1

IdentifierTypeStateIssuer
GZ379AOtherMEDICARE PART B

National Provider Directory

National Provider Directory

Locations

1050 Lee Wagener Blvd
#230
Fort Lauderdale, FL 33315
Phone (678) 683-2223

NPI Registry JSON

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1477997013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 LEE WAGENER BLVD",
            "address_2": "230",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333153500",
            "telephone_number": "678-683-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 LEE WAGENER BLVD",
            "address_2": "230",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333153500",
            "telephone_number": "678-683-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USA WELLNESS PROVIDERS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-25",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "CORREA",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "678-683-2223"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "GZ379A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; 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.